What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation
BACKGROUND: First Nations (FN) have unique perspectives and experiences of health and healthcare services, which are critical to the provision of effective community-based primary healthcare (CBPHC). OBJECTIVE: This paper shares FN perspectives on primary healthcare (PHC), taking geographical, cultu...
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ftpubmed:oai:pubmedcentral.nih.gov:7020803 2023-05-15T16:15:33+02:00 What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation Kyoon-Achan, Grace Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Ibrahim, Naser Sinclair, Stephanie Katz, Alan 2019-11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020803/ http://www.ncbi.nlm.nih.gov/pubmed/32077847 https://doi.org/10.12927/hcpol.2019.26069 en eng Longwoods Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020803/ http://www.ncbi.nlm.nih.gov/pubmed/32077847 http://dx.doi.org/10.12927/hcpol.2019.26069 Copyright © 2019 Longwoods Publishing http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution. CC-BY-NC Healthc Policy Online Exclusive Text 2019 ftpubmed https://doi.org/10.12927/hcpol.2019.26069 2020-11-08T01:30:56Z BACKGROUND: First Nations (FN) have unique perspectives and experiences of health and healthcare services, which are critical to the provision of effective community-based primary healthcare (CBPHC). OBJECTIVE: This paper shares FN perspectives on primary healthcare (PHC), taking geographical, cultural and historical realities into account, to elucidate opportunities to improve current healthcare services. METHODS: Semi-structured in-depth qualitative interviews were completed with 183 residents of 8 Manitoba FN communities. Grounded theory-guided data analysis was conducted. RESULTS: Improving PHC performance requires delivering timely and holistic healthcare that integrates traditional health knowledge, comprehensive CBPHC increasing services such as healthcare and medical transportation, healthy food as an important preventative measure and a culturally informed workforce backed by local leadership and promoting cultural respect. CONCLUSION: The relationship between self-determination and health is a critical factor in the implementation of CBPHC. FN must be respected to decide healthcare priorities that reflect the needs and visions of each community. Text First Nations PubMed Central (PMC) Healthcare Policy | Politiques de Santé 15 2 85 99 |
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Online Exclusive Kyoon-Achan, Grace Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Ibrahim, Naser Sinclair, Stephanie Katz, Alan What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation |
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Online Exclusive |
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BACKGROUND: First Nations (FN) have unique perspectives and experiences of health and healthcare services, which are critical to the provision of effective community-based primary healthcare (CBPHC). OBJECTIVE: This paper shares FN perspectives on primary healthcare (PHC), taking geographical, cultural and historical realities into account, to elucidate opportunities to improve current healthcare services. METHODS: Semi-structured in-depth qualitative interviews were completed with 183 residents of 8 Manitoba FN communities. Grounded theory-guided data analysis was conducted. RESULTS: Improving PHC performance requires delivering timely and holistic healthcare that integrates traditional health knowledge, comprehensive CBPHC increasing services such as healthcare and medical transportation, healthy food as an important preventative measure and a culturally informed workforce backed by local leadership and promoting cultural respect. CONCLUSION: The relationship between self-determination and health is a critical factor in the implementation of CBPHC. FN must be respected to decide healthcare priorities that reflect the needs and visions of each community. |
format |
Text |
author |
Kyoon-Achan, Grace Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Ibrahim, Naser Sinclair, Stephanie Katz, Alan |
author_facet |
Kyoon-Achan, Grace Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Ibrahim, Naser Sinclair, Stephanie Katz, Alan |
author_sort |
Kyoon-Achan, Grace |
title |
What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation |
title_short |
What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation |
title_full |
What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation |
title_fullStr |
What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation |
title_full_unstemmed |
What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation |
title_sort |
what changes would manitoba first nations like to see in the primary healthcare they receive? a qualitative investigation |
publisher |
Longwoods Publishing |
publishDate |
2019 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020803/ http://www.ncbi.nlm.nih.gov/pubmed/32077847 https://doi.org/10.12927/hcpol.2019.26069 |
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First Nations |
genre_facet |
First Nations |
op_source |
Healthc Policy |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020803/ http://www.ncbi.nlm.nih.gov/pubmed/32077847 http://dx.doi.org/10.12927/hcpol.2019.26069 |
op_rights |
Copyright © 2019 Longwoods Publishing http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.12927/hcpol.2019.26069 |
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Healthcare Policy | Politiques de Santé |
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15 |
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2 |
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85 |
op_container_end_page |
99 |
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1766001314586689536 |