First Nations emergency care in Alberta: descriptive results of a retrospective cohort study
Abstract Background Worse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health disparities. Emergency care is an important health services resource f...
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ftdoajarticles:oai:doaj.org/article:6830904ebca4493481f78400e30a31c8 2023-05-15T16:13:51+02:00 First Nations emergency care in Alberta: descriptive results of a retrospective cohort study Patrick McLane Cheryl Barnabe Brian R. Holroyd Amy Colquhoun Lea Bill Kayla M. Fitzpatrick Katherine Rittenbach Chyloe Healy Bonnie Healy Rhonda J. Rosychuk 2021-05-01T00:00:00Z https://doi.org/10.1186/s12913-021-06415-2 https://doaj.org/article/6830904ebca4493481f78400e30a31c8 EN eng BMC https://doi.org/10.1186/s12913-021-06415-2 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-021-06415-2 1472-6963 https://doaj.org/article/6830904ebca4493481f78400e30a31c8 BMC Health Services Research, Vol 21, Iss 1, Pp 1-13 (2021) Indigenous Emergency department Health equity Access to care Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1186/s12913-021-06415-2 2022-12-31T15:27:39Z Abstract Background Worse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health disparities. Emergency care is an important health services resource for First Nations people. First Nations partners, academic researchers, and health authority staff are collaborating to examine emergency care visit characteristics for First Nations and non-First Nations people in the province of Alberta. Methods We conducted a population-based retrospective cohort study examining all Alberta emergency care visits from April 1, 2012 to March 31, 2017 by linking administrative data. Patient demographics and emergency care visit characteristics for status First Nations persons in Alberta, and non-First Nations persons, are reported. Frequencies and percentages (%) describe patients and visits by categorical variables (e.g., Canadian Triage and Acuity Scale). Means, medians, standard deviations and interquartile ranges describe continuous variables (e.g., age). Results The dataset contains 11,686,288 emergency care visits by 3,024,491 unique persons. First Nations people make up 4% of the provincial population and 9.4% of provincial emergency visits. The population rate of emergency visits is nearly 3 times higher for First Nations persons than non-First Nations persons. First Nations women utilize emergency care more than non-First Nations women (54.2% of First Nations visits are by women compared to 50.9% of non-First Nations visits). More First Nations visits end in leaving without completing treatment (6.7% v. 3.6%). Conclusions Further research is needed on the impact of First Nations identity on emergency care drivers and outcomes, and on emergency care for First Nations women. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada BMC Health Services Research 21 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Indigenous Emergency department Health equity Access to care Public aspects of medicine RA1-1270 |
spellingShingle |
Indigenous Emergency department Health equity Access to care Public aspects of medicine RA1-1270 Patrick McLane Cheryl Barnabe Brian R. Holroyd Amy Colquhoun Lea Bill Kayla M. Fitzpatrick Katherine Rittenbach Chyloe Healy Bonnie Healy Rhonda J. Rosychuk First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
topic_facet |
Indigenous Emergency department Health equity Access to care Public aspects of medicine RA1-1270 |
description |
Abstract Background Worse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health disparities. Emergency care is an important health services resource for First Nations people. First Nations partners, academic researchers, and health authority staff are collaborating to examine emergency care visit characteristics for First Nations and non-First Nations people in the province of Alberta. Methods We conducted a population-based retrospective cohort study examining all Alberta emergency care visits from April 1, 2012 to March 31, 2017 by linking administrative data. Patient demographics and emergency care visit characteristics for status First Nations persons in Alberta, and non-First Nations persons, are reported. Frequencies and percentages (%) describe patients and visits by categorical variables (e.g., Canadian Triage and Acuity Scale). Means, medians, standard deviations and interquartile ranges describe continuous variables (e.g., age). Results The dataset contains 11,686,288 emergency care visits by 3,024,491 unique persons. First Nations people make up 4% of the provincial population and 9.4% of provincial emergency visits. The population rate of emergency visits is nearly 3 times higher for First Nations persons than non-First Nations persons. First Nations women utilize emergency care more than non-First Nations women (54.2% of First Nations visits are by women compared to 50.9% of non-First Nations visits). More First Nations visits end in leaving without completing treatment (6.7% v. 3.6%). Conclusions Further research is needed on the impact of First Nations identity on emergency care drivers and outcomes, and on emergency care for First Nations women. |
format |
Article in Journal/Newspaper |
author |
Patrick McLane Cheryl Barnabe Brian R. Holroyd Amy Colquhoun Lea Bill Kayla M. Fitzpatrick Katherine Rittenbach Chyloe Healy Bonnie Healy Rhonda J. Rosychuk |
author_facet |
Patrick McLane Cheryl Barnabe Brian R. Holroyd Amy Colquhoun Lea Bill Kayla M. Fitzpatrick Katherine Rittenbach Chyloe Healy Bonnie Healy Rhonda J. Rosychuk |
author_sort |
Patrick McLane |
title |
First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
title_short |
First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
title_full |
First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
title_fullStr |
First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
title_full_unstemmed |
First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
title_sort |
first nations emergency care in alberta: descriptive results of a retrospective cohort study |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12913-021-06415-2 https://doaj.org/article/6830904ebca4493481f78400e30a31c8 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Health Services Research, Vol 21, Iss 1, Pp 1-13 (2021) |
op_relation |
https://doi.org/10.1186/s12913-021-06415-2 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-021-06415-2 1472-6963 https://doaj.org/article/6830904ebca4493481f78400e30a31c8 |
op_doi |
https://doi.org/10.1186/s12913-021-06415-2 |
container_title |
BMC Health Services Research |
container_volume |
21 |
container_issue |
1 |
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1765999719706787840 |