Quels changements les Premières Nations du Manitoba souhaiteraient apporter aux soins de santé primaires? Une enquête qualitative

Grace Kyoon-Achan; Josée Lavoie; Wanda Phillips-Beck; Kathi Avery Kinew; Naser Ibrahim; Stephanie Sinclair; Alan Katz Mbchb

doi:10.12927/HCPOL.2019.26069

Quels changements les Premières Nations du Manitoba souhaiteraient apporter aux soins de santé primaires? Une enquête qualitative

Translated title of the contribution: What changes would Manitoba First Nations like to see in the primary healthcare they receive? A qualitative investigation

Grace Kyoon-Achan, Josée Lavoie, Wanda Phillips-Beck, Kathi Avery Kinew, Naser Ibrahim, Stephanie Sinclair, Alan Katz Mbchb

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

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.

Translated title of the contribution	What changes would Manitoba First Nations like to see in the primary healthcare they receive? A qualitative investigation
Original language	French
Pages (from-to)	E85-E99
Journal	Healthcare Policy
Volume	15
Issue number	2
DOIs	https://doi.org/10.12927/HCPOL.2019.26069
Publication status	Published - Nov 2019
Externally published	Yes

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

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title = "Quels changements les Premi{\`e}res Nations du Manitoba souhaiteraient apporter aux soins de sant{\'e} primaires? Une enqu{\^e}te qualitative",

abstract = "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.",

author = "Grace Kyoon-Achan and Jos{\'e}e Lavoie and Wanda Phillips-Beck and Kinew, {Kathi Avery} and Naser Ibrahim and Stephanie Sinclair and Mbchb, {Alan Katz}",

year = "2019",

month = nov,

doi = "10.12927/HCPOL.2019.26069",

language = "French",

volume = "15",

pages = "E85--E99",

journal = "Healthcare Policy",

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AU - Kyoon-Achan, Grace

AU - Lavoie, Josée

AU - Phillips-Beck, Wanda

AU - Kinew, Kathi Avery

AU - Ibrahim, Naser

AU - Sinclair, Stephanie

AU - Mbchb, Alan Katz

PY - 2019/11

Y1 - 2019/11

N2 - 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.

AB - 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.

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Quels changements les Premières Nations du Manitoba souhaiteraient apporter aux soins de santé primaires? Une enquête qualitative

Abstract

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