NDLI: What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation.

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What Changes Would Manitoba First Nations Like to See in the Primary Healthcare They Receive? A Qualitative Investigation.

Content Provider	Europe PMC
Author	Kyoon-Achan, Grace Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Ibrahim, Naser Sinclair, Stephanie Katz, Alan
Copyright Year	2019
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.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7020803&blobtype=pdf
ISSN	17156572
Journal	Healthcare Policy [Healthc Policy]
Volume Number	15
DOI	10.12927/hcpol.2019.26069
PubMed Central reference number	PMC7020803
Issue Number	2
PubMed reference number	32077847
Language	English
Publisher	Longwoods Publishing
Publisher Date	2019-11-01
Access Restriction	Open
Rights License	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. Copyright © 2019 Longwoods Publishing
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Health Policy

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