Exploring Quality Improvement for Diabetes Care: A Multiple Case Study of Primary Care Teams in First Nations Communities in Canada

Clinical quality improvement (QI) teams from First Nations communities across Canada participated in an 18-month QI collaborative program called the TransFORmation of IndiGEnous Primary HEAlthcare Delivery (FORGE AHEAD) clinical QI initiative. Community-based participatory research and multiple case...

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Bibliographic Details
Main Author: Fournie, Meghan
Format: Text
Language:English
Published: Scholarship@Western 2018
Subjects:
First Nations
Indigenous health
diabetes
primary care
quality improvement
team-based learning
community-based participatory research
knowledge translation
implementation science
case study methodology
Medicine and Health Sciences
Canada
Online Access:https://ir.lib.uwo.ca/etd/5201
https://ir.lib.uwo.ca/context/etd/article/7183/viewcontent/Working_Thesis_Meghan_Fournie_Final_Feb_24_17.pdf
Description
Summary:Clinical quality improvement (QI) teams from First Nations communities across Canada participated in an 18-month QI collaborative program called the TransFORmation of IndiGEnous Primary HEAlthcare Delivery (FORGE AHEAD) clinical QI initiative. Community-based participatory research and multiple case study methodologies were utilized to explore the experience of two clinical QI teams from diverse primary care settings in First Nations communities as they engaged in developing and implementing changes in practice to improve the quality of diabetes care. This study provides insight into how clinical QI teams drew upon multiple sources of knowledge and information to inform their QI activities, the importance of strengthening relationships and building partnerships with the community, and the factors that support or hinder QI within First Nations communities in Canada. The knowledge generated may help inform community action and future development and implementation of QI programs in First Nations communities in Canada.

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