Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views
ABSTRACTThe views of community Elders and health care providers in a rural remote First Nation community in Ontario, Canada on their health care landscape and adapting the Community Paramedicine at Clinic (CP@clinic) Program to their community are presented. Key informant interviews took place betwe...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2023
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Online Access: | https://doi.org/10.1080/22423982.2023.2258025 https://doaj.org/article/9db67445963349f6a0b73d2179576a3e |
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ftdoajarticles:oai:doaj.org/article:9db67445963349f6a0b73d2179576a3e 2024-01-21T10:04:00+01:00 Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views Amelia Keenan Pauneez Sadri Francine Marzanek Melissa Pirrie Ricardo Angeles Gina Agarwal 2023-12-01T00:00:00Z https://doi.org/10.1080/22423982.2023.2258025 https://doaj.org/article/9db67445963349f6a0b73d2179576a3e EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2023.2258025 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2258025 2242-3982 https://doaj.org/article/9db67445963349f6a0b73d2179576a3e International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) Chronic disease community paramedicine delivery of health care emergency medical technicians Indigenous health services primary health care Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1080/22423982.2023.2258025 2023-12-24T01:42:47Z ABSTRACTThe views of community Elders and health care providers in a rural remote First Nation community in Ontario, Canada on their health care landscape and adapting the Community Paramedicine at Clinic (CP@clinic) Program to their community are presented. Key informant interviews took place between September 2020 and March 2021, and were thematically analysed using the Framework Hierarchical Analysis. There were seven themes that emerged with many subthemes: available services in the community, health care access, health challenges in community, causes of frailty, health care and community appreciations, community-specific benefits of CP@clinic, and CP@clinic program considerations for adaptation. CP@clinic program considerations for adaptation included defining the role of CP, refining referral processes to capture the target population, advertising and promoting, ensuring community awareness, determining clinic setting and composition, focusing on advocacy and timely continuity, adding to the program through time, managing resistance, engaging community and partners, deploying cultural training and language accommodations, leveraging community assets, and ensuring sustainability. Focusing on continuity, engagement, and leveraging available resources may support the success of the CP@clinic program implementation. Findings from this study may be useful to other underserved communities in Canada seeking health programming. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic Canada International Journal of Circumpolar Health 82 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Chronic disease community paramedicine delivery of health care emergency medical technicians Indigenous health services primary health care Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Chronic disease community paramedicine delivery of health care emergency medical technicians Indigenous health services primary health care Arctic medicine. Tropical medicine RC955-962 Amelia Keenan Pauneez Sadri Francine Marzanek Melissa Pirrie Ricardo Angeles Gina Agarwal Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views |
topic_facet |
Chronic disease community paramedicine delivery of health care emergency medical technicians Indigenous health services primary health care Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACTThe views of community Elders and health care providers in a rural remote First Nation community in Ontario, Canada on their health care landscape and adapting the Community Paramedicine at Clinic (CP@clinic) Program to their community are presented. Key informant interviews took place between September 2020 and March 2021, and were thematically analysed using the Framework Hierarchical Analysis. There were seven themes that emerged with many subthemes: available services in the community, health care access, health challenges in community, causes of frailty, health care and community appreciations, community-specific benefits of CP@clinic, and CP@clinic program considerations for adaptation. CP@clinic program considerations for adaptation included defining the role of CP, refining referral processes to capture the target population, advertising and promoting, ensuring community awareness, determining clinic setting and composition, focusing on advocacy and timely continuity, adding to the program through time, managing resistance, engaging community and partners, deploying cultural training and language accommodations, leveraging community assets, and ensuring sustainability. Focusing on continuity, engagement, and leveraging available resources may support the success of the CP@clinic program implementation. Findings from this study may be useful to other underserved communities in Canada seeking health programming. |
format |
Article in Journal/Newspaper |
author |
Amelia Keenan Pauneez Sadri Francine Marzanek Melissa Pirrie Ricardo Angeles Gina Agarwal |
author_facet |
Amelia Keenan Pauneez Sadri Francine Marzanek Melissa Pirrie Ricardo Angeles Gina Agarwal |
author_sort |
Amelia Keenan |
title |
Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views |
title_short |
Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views |
title_full |
Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views |
title_fullStr |
Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views |
title_full_unstemmed |
Adapting the Community Paramedicine at Clinic (CP@clinic) program to a remote northern First Nation community: a qualitative study of community members’ and local health care providers’ views |
title_sort |
adapting the community paramedicine at clinic (cp@clinic) program to a remote northern first nation community: a qualitative study of community members’ and local health care providers’ views |
publisher |
Taylor & Francis Group |
publishDate |
2023 |
url |
https://doi.org/10.1080/22423982.2023.2258025 https://doaj.org/article/9db67445963349f6a0b73d2179576a3e |
geographic |
Arctic Canada |
geographic_facet |
Arctic Canada |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2023.2258025 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2258025 2242-3982 https://doaj.org/article/9db67445963349f6a0b73d2179576a3e |
op_doi |
https://doi.org/10.1080/22423982.2023.2258025 |
container_title |
International Journal of Circumpolar Health |
container_volume |
82 |
container_issue |
1 |
_version_ |
1788694420165492736 |