Canada First Nations Strengths in Community-Based Primary Healthcare
Introduction: First Nation (FN) peoples and communities in Canada are still grappling with the effects of colonization. Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination,...
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ftdoajarticles:oai:doaj.org/article:5eca4706b24a47a397adcd9c25535ce4 2023-05-15T16:15:29+02:00 Canada First Nations Strengths in Community-Based Primary Healthcare Grace Kyoon Achan Rachel Eni Wanda Phillips-Beck Josée G. Lavoie Kathi Avery Kinew Alan Katz 2022-10-01T00:00:00Z https://doi.org/10.3390/ijerph192013532 https://doaj.org/article/5eca4706b24a47a397adcd9c25535ce4 EN eng MDPI AG https://www.mdpi.com/1660-4601/19/20/13532 https://doaj.org/toc/1661-7827 https://doaj.org/toc/1660-4601 doi:10.3390/ijerph192013532 1660-4601 1661-7827 https://doaj.org/article/5eca4706b24a47a397adcd9c25535ce4 International Journal of Environmental Research and Public Health, Vol 19, Iss 13532, p 13532 (2022) First Nations community-based primary healthcare strengths self-determination Medicine R article 2022 ftdoajarticles https://doi.org/10.3390/ijerph192013532 2022-12-30T19:47:59Z Introduction: First Nation (FN) peoples and communities in Canada are still grappling with the effects of colonization. Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination, FN are looking inwards for strengths. This paper reports on the cultural, community, and family strengths that have supported FN communities in developing community-based primary healthcare (CBPHC) strategies to support health and wellbeing. Methods: The study was a partnership between university-based researchers; The First Nations Health and Social Secretariat of Manitoba; and eight First Nation communities in Manitoba. Community-based participatory research methods were used to engage the participating communities. One hundred and eighty-three in-depth, semi-structured key informant interviews were completed between 2014 and 2016 with key members of the First Nation communities, i.e., community-based health providers and users of primary healthcare services, representing all age and genders. Data-collection and analysis were conducted following iterative grounded theory analysis. Results: Community-based healthcare models based on local strengths support easier access and shorter wait times for care and compassionate care delivery. Resources such as homecare and medical transportation are helpful. Community cooperation, youth power, responsive leadership, and economic development as well as a strong cultural and spiritual base are key strengths supporting health and social wellbeing. Conclusions: Locally led, self-determined care adds strength in FN communities, and is poised to create long-lasting primary healthcare transformation. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada International Journal of Environmental Research and Public Health 19 20 13532 |
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Directory of Open Access Journals: DOAJ Articles |
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language |
English |
topic |
First Nations community-based primary healthcare strengths self-determination Medicine R |
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First Nations community-based primary healthcare strengths self-determination Medicine R Grace Kyoon Achan Rachel Eni Wanda Phillips-Beck Josée G. Lavoie Kathi Avery Kinew Alan Katz Canada First Nations Strengths in Community-Based Primary Healthcare |
topic_facet |
First Nations community-based primary healthcare strengths self-determination Medicine R |
description |
Introduction: First Nation (FN) peoples and communities in Canada are still grappling with the effects of colonization. Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination, FN are looking inwards for strengths. This paper reports on the cultural, community, and family strengths that have supported FN communities in developing community-based primary healthcare (CBPHC) strategies to support health and wellbeing. Methods: The study was a partnership between university-based researchers; The First Nations Health and Social Secretariat of Manitoba; and eight First Nation communities in Manitoba. Community-based participatory research methods were used to engage the participating communities. One hundred and eighty-three in-depth, semi-structured key informant interviews were completed between 2014 and 2016 with key members of the First Nation communities, i.e., community-based health providers and users of primary healthcare services, representing all age and genders. Data-collection and analysis were conducted following iterative grounded theory analysis. Results: Community-based healthcare models based on local strengths support easier access and shorter wait times for care and compassionate care delivery. Resources such as homecare and medical transportation are helpful. Community cooperation, youth power, responsive leadership, and economic development as well as a strong cultural and spiritual base are key strengths supporting health and social wellbeing. Conclusions: Locally led, self-determined care adds strength in FN communities, and is poised to create long-lasting primary healthcare transformation. |
format |
Article in Journal/Newspaper |
author |
Grace Kyoon Achan Rachel Eni Wanda Phillips-Beck Josée G. Lavoie Kathi Avery Kinew Alan Katz |
author_facet |
Grace Kyoon Achan Rachel Eni Wanda Phillips-Beck Josée G. Lavoie Kathi Avery Kinew Alan Katz |
author_sort |
Grace Kyoon Achan |
title |
Canada First Nations Strengths in Community-Based Primary Healthcare |
title_short |
Canada First Nations Strengths in Community-Based Primary Healthcare |
title_full |
Canada First Nations Strengths in Community-Based Primary Healthcare |
title_fullStr |
Canada First Nations Strengths in Community-Based Primary Healthcare |
title_full_unstemmed |
Canada First Nations Strengths in Community-Based Primary Healthcare |
title_sort |
canada first nations strengths in community-based primary healthcare |
publisher |
MDPI AG |
publishDate |
2022 |
url |
https://doi.org/10.3390/ijerph192013532 https://doaj.org/article/5eca4706b24a47a397adcd9c25535ce4 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Environmental Research and Public Health, Vol 19, Iss 13532, p 13532 (2022) |
op_relation |
https://www.mdpi.com/1660-4601/19/20/13532 https://doaj.org/toc/1661-7827 https://doaj.org/toc/1660-4601 doi:10.3390/ijerph192013532 1660-4601 1661-7827 https://doaj.org/article/5eca4706b24a47a397adcd9c25535ce4 |
op_doi |
https://doi.org/10.3390/ijerph192013532 |
container_title |
International Journal of Environmental Research and Public Health |
container_volume |
19 |
container_issue |
20 |
container_start_page |
13532 |
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1766001227886231552 |