Wellness Wheel Clinics: A First Nation community-partnered care model improving healthcare access, from healthcare providers' perspectives.
First Nation people residing in rural and remote communities have limited primary healthcare access, which often affects chronic disease management leading to poor health outcomes. Individuals with lived experiences of chronic disease and substance use, along with health directors, advocated for imp...
| Publicado en: | Health Promotion International Vol. 38; no. 4; pp. 1 - 13 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=171352570&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 171352570 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Aug2023 vid: 38 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 171352570 171352570 171352570 10.1093/heapro/daad079 171352570 ppf: 1 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Wellness Wheel Clinics: A First Nation community-partnered care model improving healthcare access, from healthcare providers' perspectives. aug: au: Pandey, Mamata Clark, Megan Beresh, Erin Nilson, Solveig Kay, Cynthia Campbell, Trisha Nicolay, Susanne Skinner, Stuart affil: Research Department, Saskatchewan Health Authority , Regina, Saskatchewan , Canada sug: subj: Mobile Health Units Community Role Indigenous Peoples Psychosocial Factors Health Services Accessibility Health Services Needs and Demand Attitude of Health Personnel Human Male Female Health Personnel Semi-Structured Interview Administrative Personnel Descriptive Statistics Comparative Studies Data Analysis Software Thematic Analysis Ambulatory Care Facilities Health Education Social Workers Counselors Continuity of Patient Care Health Policy Health Care Costs Health Care Delivery Funding Source Male Female ab: First Nation people residing in rural and remote communities have limited primary healthcare access, which often affects chronic disease management leading to poor health outcomes. Individuals with lived experiences of chronic disease and substance use, along with health directors, advocated for improved services. Subsequently, an urban healthcare team in partnership with four First Nation communities developed an Outreach clinic to address healthcare access barriers. Established in 2016, this community-led clinic improves primary care access and chronic disease management in First Nation communities. Employing a qualitative research design, interviews were conducted with 15 clinic providers and 9 community members to explore the clinic's 1-year post-implementation impacts. Thematic data analysis indicated that engagement and approval by community leadership, support from Elders and community members and collaboration with existing community healthcare staff were crucial for establishing the Outreach clinic. Initial logistical challenges with space allocation, equipment, medical supplies, funding, staffing, medical records and appointment scheduling were resolved through community consultation and creative solutions. A nurse coordinator ensured continuity of care and was integral to ensuring clients receive seamless care. The commitment of the outreach team and the collective goal of providing client-centered care were instrumental in the clinic's success. In partnership with communities, access to healthcare in First Nation communities can be enhanced by coordinating Outreach clinics through existing community healthcare facilities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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