Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta
Objectives This study aims to identify and critically examine the components of health complexity, and explore the factors that allow it to exist, among urban Indigenous peoples in Canada.Design Qualitative exploration with relational conversations.Setting Calgary, Alberta, Canada.Participants A tot...
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Online Access: | https://doi.org/10.1136/bmjopen-2023-073184 https://doaj.org/article/cfddf42388fe4a54aab0e274c511b344 |
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ftdoajarticles:oai:doaj.org/article:cfddf42388fe4a54aab0e274c511b344 2024-10-13T14:07:19+00:00 Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta Cheryl Barnabe Rita Henderson Sara Scott Adam Murry Anika Sehgal Lynden (Lindsay) Crowshoe 2023-10-01T00:00:00Z https://doi.org/10.1136/bmjopen-2023-073184 https://doaj.org/article/cfddf42388fe4a54aab0e274c511b344 EN eng BMJ Publishing Group https://bmjopen.bmj.com/content/13/10/e073184.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2023-073184 2044-6055 https://doaj.org/article/cfddf42388fe4a54aab0e274c511b344 BMJ Open, Vol 13, Iss 10 (2023) Medicine R article 2023 ftdoajarticles https://doi.org/10.1136/bmjopen-2023-073184 2024-09-17T16:00:46Z Objectives This study aims to identify and critically examine the components of health complexity, and explore the factors that allow it to exist, among urban Indigenous peoples in Canada.Design Qualitative exploration with relational conversations.Setting Calgary, Alberta, Canada.Participants A total of nine urban Indigenous patients were recruited from a multidisciplinary primary healthcare clinic that serves First Nations, Métis and Inuit peoples. Recruitment and data collection took place between September and November 2021.Results Thematic analysis revealed three main themes, namely: sources of health complexity, psychological responses to adversity, and resilience, strengths, and protective factors. Key sources of health complexity arose from material resource disparities and adverse interpersonal interactions within the healthcare environment, which manifest into psychological distress while strengths and resilience emerged as protective factors.Conclusion The healthcare system remains inapt to address complexity among urban Indigenous peoples in Canada. Healthcare violence experienced by Indigenous peoples only further perpetuates health complexity. Future clinical tools to collect information about health complexity among urban Indigenous patients should include questions about the factors defined in this study. Article in Journal/Newspaper First Nations inuit Directory of Open Access Journals: DOAJ Articles Canada BMJ Open 13 10 e073184 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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Medicine R |
spellingShingle |
Medicine R Cheryl Barnabe Rita Henderson Sara Scott Adam Murry Anika Sehgal Lynden (Lindsay) Crowshoe Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
topic_facet |
Medicine R |
description |
Objectives This study aims to identify and critically examine the components of health complexity, and explore the factors that allow it to exist, among urban Indigenous peoples in Canada.Design Qualitative exploration with relational conversations.Setting Calgary, Alberta, Canada.Participants A total of nine urban Indigenous patients were recruited from a multidisciplinary primary healthcare clinic that serves First Nations, Métis and Inuit peoples. Recruitment and data collection took place between September and November 2021.Results Thematic analysis revealed three main themes, namely: sources of health complexity, psychological responses to adversity, and resilience, strengths, and protective factors. Key sources of health complexity arose from material resource disparities and adverse interpersonal interactions within the healthcare environment, which manifest into psychological distress while strengths and resilience emerged as protective factors.Conclusion The healthcare system remains inapt to address complexity among urban Indigenous peoples in Canada. Healthcare violence experienced by Indigenous peoples only further perpetuates health complexity. Future clinical tools to collect information about health complexity among urban Indigenous patients should include questions about the factors defined in this study. |
format |
Article in Journal/Newspaper |
author |
Cheryl Barnabe Rita Henderson Sara Scott Adam Murry Anika Sehgal Lynden (Lindsay) Crowshoe |
author_facet |
Cheryl Barnabe Rita Henderson Sara Scott Adam Murry Anika Sehgal Lynden (Lindsay) Crowshoe |
author_sort |
Cheryl Barnabe |
title |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_short |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_full |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_fullStr |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_full_unstemmed |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_sort |
critically examining health complexity experienced by urban indigenous peoples in canada by exploring the factors that allow health complexity to persist: a qualitative study of indigenous patients in calgary, alberta |
publisher |
BMJ Publishing Group |
publishDate |
2023 |
url |
https://doi.org/10.1136/bmjopen-2023-073184 https://doaj.org/article/cfddf42388fe4a54aab0e274c511b344 |
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Canada |
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Canada |
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First Nations inuit |
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First Nations inuit |
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BMJ Open, Vol 13, Iss 10 (2023) |
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https://bmjopen.bmj.com/content/13/10/e073184.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2023-073184 2044-6055 https://doaj.org/article/cfddf42388fe4a54aab0e274c511b344 |
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https://doi.org/10.1136/bmjopen-2023-073184 |
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BMJ Open |
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13 |
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e073184 |
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