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...
Published in: | BMC Health Services Research |
---|---|
Main Authors: | , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
2021
|
Subjects: | |
Online Access: | http://hdl.handle.net/1880/113384 https://doi.org/10.11575/PRISM/44664 https://doi.org/10.1186/s12913-021-06415-2 |
id |
ftunivcalgary:oai:prism.ucalgary.ca:1880/113384 |
---|---|
record_format |
openpolar |
spelling |
ftunivcalgary:oai:prism.ucalgary.ca:1880/113384 2024-09-15T18:06:15+00:00 First Nations emergency care in Alberta: descriptive results of a retrospective cohort study McLane, Patrick Barnabe, Cheryl Holroyd, Brian R Colquhoun, Amy Bill, Lea Fitzpatrick, Kayla M Rittenbach, Katherine Healy, Chyloe Healy, Bonnie Rosychuk, Rhonda J 2021-05-09T00:03:20Z application/pdf http://hdl.handle.net/1880/113384 https://doi.org/10.11575/PRISM/44664 https://doi.org/10.1186/s12913-021-06415-2 en eng BMC Health Services Research. 2021 May 04;21(1):423 http://hdl.handle.net/1880/113384 https://doi.org/10.11575/PRISM/44664 https://doi.org/10.1186/s12913-021-06415-2 The Author(s) Journal Article 2021 ftunivcalgary https://doi.org/10.11575/PRISM/4466410.1186/s12913-021-06415-2 2024-07-30T23:46:17Z 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 PRISM - University of Calgary Digital Repository BMC Health Services Research 21 1 |
institution |
Open Polar |
collection |
PRISM - University of Calgary Digital Repository |
op_collection_id |
ftunivcalgary |
language |
English |
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 |
McLane, Patrick Barnabe, Cheryl Holroyd, Brian R Colquhoun, Amy Bill, Lea Fitzpatrick, Kayla M Rittenbach, Katherine Healy, Chyloe Healy, Bonnie Rosychuk, Rhonda J |
spellingShingle |
McLane, Patrick Barnabe, Cheryl Holroyd, Brian R Colquhoun, Amy Bill, Lea Fitzpatrick, Kayla M Rittenbach, Katherine Healy, Chyloe Healy, Bonnie Rosychuk, Rhonda J First Nations emergency care in Alberta: descriptive results of a retrospective cohort study |
author_facet |
McLane, Patrick Barnabe, Cheryl Holroyd, Brian R Colquhoun, Amy Bill, Lea Fitzpatrick, Kayla M Rittenbach, Katherine Healy, Chyloe Healy, Bonnie Rosychuk, Rhonda J |
author_sort |
McLane, Patrick |
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 |
publishDate |
2021 |
url |
http://hdl.handle.net/1880/113384 https://doi.org/10.11575/PRISM/44664 https://doi.org/10.1186/s12913-021-06415-2 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
BMC Health Services Research. 2021 May 04;21(1):423 http://hdl.handle.net/1880/113384 https://doi.org/10.11575/PRISM/44664 https://doi.org/10.1186/s12913-021-06415-2 |
op_rights |
The Author(s) |
op_doi |
https://doi.org/10.11575/PRISM/4466410.1186/s12913-021-06415-2 |
container_title |
BMC Health Services Research |
container_volume |
21 |
container_issue |
1 |
_version_ |
1810443729745477632 |