Solution Model for Enhancing the Experiences of Urban First Nations and Métis Patients Accessing and Navigating the Health System for Inflammatory Arthritis Care

• Published in: International Indigenous Policy Journal
• Main Authors: Barnabe, Cheryl, Miller, Jean, Teare, Sylvia, Eaglespeaker, Casey, Roland, Brenda, Eshkakogan, Nicole, Crowshoe, (Lynden) Lindsay, Lopatina, Elena, Marshall, Deborah
• Format: Report
• Language: unknown
• Published: Scholarship@Western 2019
• Subjects: inflammatory arthritis; models of care; Indigenous; urban Indigenous health clinics; PaCER; Family Medicine; Immune System Diseases; Musculoskeletal Diseases; Rheumatology; First Nations
• Online Access: https://ir.lib.uwo.ca/iipj/vol10/iss2/3; https://doi.org/10.18584/iipj.2019.10.2.3

Health system innovations that better support Indigenous patients, particularly in urban settings, exist in primary health services, but this has not been translated and integrated into specialty care. We sought to identify the experiences of urban First Nations and Métis patients with inflammatory arthritis in accessing and navigating the health system. We used a qualitative research method called Patient and Community Engagement Research Program (PaCER) led by patients using an iterative three phase process: Set, Collect, and Reflect. Initial access and continuity of specialty care can be facilitated with collaboration between primary and specialty care in an urban Indigenous health service model, where health system change was built on culturally responsive models of care.