scholarly journals Inequities in Diabetes Outcomes among Urban First Nation and Métis Communities: Can Addressing Diversities in Preventive Services Make a Difference?

2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Hasu Ghosh ◽  
Denise Spitzer
Keyword(s):  
Health Service ◽  
Health Services ◽  
First Nations ◽  
Exploratory Study ◽  
Service Providers ◽  
Aboriginal People ◽  
Preventive Services ◽  
First Nation ◽  
Aboriginal Peoples ◽  
Review Of Literature

This article primarily aims to demonstrate how diversity is reflected among urban Aboriginal peoples in Canada. Secondly, it uncovers if and how preventive health services in the province of Ontario, Canada are responsive to this diversity. Data for this study were gathered from a review of literature on culturally appropriate health service delivery to Aboriginal peoples in Canada and a qualitative exploratory study conducted with urban First Nation and Métis people, and health service providers and policy makers. The findings from review of literature and the exploratory study indicated that the nature of Aboriginal diversity and its trends are complex. From the document review, we can comprehend that socio-economic disparities among First Nations and Métis, compared to non-Aboriginal people, are reducing slowly; however, evidence from the exploratory study suggested otherwise and indicated that there is also a strong need for First Nation and Métis families to overcome barriers in order to improve their quality of live in urban Ontario, Canada. It is evident that health services for urban First Nation and Métis people cannot address existing health inequities by simplistic application of pan-Aboriginal strategies in preventive services. Initiatives for urban First Nation and Métis people require strategies that are targeted at the unique and distinct needs of First Nation and Métis residents regardless of their legal status, cultural pluralities, socio-economic backgrounds, and place of residence in cities.

scholarly journals Old Keyam – A Framework for Examining Disproportionate Experience of Tuberculosis Among Aboriginal Peoples of the Canadian Prairies

2013 ◽  
Vol 9 (1) ◽  
pp. 30
Author(s):  
Kathleen McMullin ◽  
Sylvia Abonyi ◽  
Maria Mayan ◽  
Pamela Orr ◽  
Carmen Lopez-Hille ◽  
...  
Keyword(s):  
First Nations ◽  
Aboriginal People ◽  
Qualitative Interviews ◽  
Aboriginal Peoples ◽  
Community Based ◽  
Canadian Prairies ◽  
Tuberculosis Transmission ◽  
The Social ◽  
Interdisciplinary Study ◽  
Collaborative Efforts

On the Canadian Prairies, First Nations and Métis peoples are disproportionately affected by tuberculosis (TB) compared to other Canadians. Statistics show enduring transmission and high rates of active TB disease. Despite awareness of the social determinants of TB transmission—such as substance abuse, comorbidities, and basic needs being unmet—transmission and outbreaks continue to occur among Aboriginal people. The Determinants of Tuberculosis Transmission project is a mixed methods, interdisciplinary study that used quantitative questionnaires and qualitative interviews to look more closely at patients’ experiences of TB. Provincial Network Committees (PNCs) comprised of Elders, traditionalists, community-based TB workers, and health researchers in three participating provinces guided the project from inception through to data analysis, interpretation, and dissemination. The collaborative efforts of the patients, the research team, and the PNCs uncovered a continuing influence of colonization in TB transmission. Overwhelming feelings of apathy and despair for the hold that TB continues to have in the lives of patients, families, and communities is captured by the Cree word “keyam,” which may be translated as “to give up” or to ask, “What is the use?” This paper explores the concept of keyam in relation to TB transmission.

Towards a Customer-Centric Framework for Evaluation of E-Health Service Quality

2018 ◽  
pp. 199-218
Author(s):  
Michael Mutingi
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Healthcare Service ◽  
Quality Evaluation ◽  
Service Providers ◽  
Customer Experience ◽  
Evaluation Framework ◽  
Service Quality Evaluation ◽  
Health Service Quality

As the awareness of the importance of healthcare service quality and pressures from stakeholders continue to grow, healthcare service providers have no option except to develop appropriate service quality evaluation procedures. Patient satisfaction is imperative, and has become a critical issue especially in e-health services. Although healthcare service providers have become aware of the need for improving customer experience through provision of customer-centric services, virtually none of the existing e-health quality evaluation frameworks are grounded on customer-centric metrics. In this chapter, a critical analysis of existing evaluation initiatives is presented from the context of e-health services. Critical areas of e-health service are investigated to determine quality dimensions that influence customer experience. From this analysis, a customer-centric evaluation framework is proposed, comprising four e-health service quality scales. The framework provides a platform for continuous improvement in e-health service.

Predictors of users’ preferences for online health services

2020 ◽  
Vol 37 (2) ◽  
pp. 215-225
Author(s):  
Shahidul Islam ◽  
Md Rakibul Hoque ◽  
Md Abdullah Al Jamil
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Rational Choice Theory ◽  
Service Providers ◽  
Well Being ◽  
Ease Of Use ◽  
Future Research ◽  
Content Type ◽  
Health Service Quality

Purpose The purpose of this study is to explain predictors that discriminate users’ preferences for online health services, focusing on a downtown area in a developing country. Design/methodology/approach Drawing on rational choice theory (RCT), the authors test a model that links the frequency of online health service usage to access-activators and access-inhibitors. Multivariate analysis of variance (MANOVA) and the discriminant analysis model were used to analyze data from a sample of 215 internet users. Findings Results confirm the significance of responsiveness, user’s attitude, accessibility and perceived ease of use, indicating their discriminating role in the usage of online health services. Research limitations/implications The study demonstrates the relevance of RCT in measuring perceived online health service quality in an emerging context. Future research should consider the influence of electronic health (eHealth) literacy, norms and trustworthiness to increase the generalizability of the findings. Practical implications The findings of this study can help enhance the eHealth service quality by encouraging service providers to improve the interactivity and ease of use of their platforms, thus delivering value to both consumers and firms and improving the well-being of the society at large. Originality/value Few existing studies draw attention to access-activators and access-inhibitors to predict users’ preferences for online health services. This study shows the applicability of RCT in preparing the instrumental dimensions of online health service quality.

Access and attitudes to health care of Torres Strait Islanders living in mainland Australia

2004 ◽  
Vol 10 (2) ◽  
pp. 29 ◽  
Author(s):  
Paul Ban
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Medical Services ◽  
Outpatient Services ◽  
Health Service Provider ◽  
Hospital Outpatient ◽  
Health Service Providers ◽  
Torres Strait ◽  
High Level

Ninety-two mainland Torres Strait Islanders, across five communities on mainland Australia, were consulted in relation to their access to health service providers. Similar numbers were interviewed in different-sized locations encompassing urban, rural, and remote areas. This exploratory study was the first to consider the health access issues of mainland Torres Strait Islanders. Overall, community controlled health services were the most commonly used exclusive health service providers, followed by private medical services and hospital outpatient services. The two most common reasons for the choice of health service provider in each community were convenience of access and the quality of relationship and trust with the medical staff. In general, the Torres Strait Islanders interviewed stated they are not comfortable seeking medical treatment, and delay accessing any health services. There was a high level of satisfaction in all communities with private medical services. Concerns were raised regarding long waiting periods at community controlled health services and hospital outpatient services, along with lack of confidentiality at community controlled health services. People wanted to see Torres Strait Islander staff at community controlled health services and hospital outpatient services to help facilitate greater access.

scholarly journals P100: Exploring First Nations members emergency department experiences and concerns through participatory research methods

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S92-S92
Author(s):  
P. McLane ◽  
D. Jagodzinsky ◽  
L. Bill ◽  
C. Barnabe ◽  
B. R. Holroyd ◽  
...  
Keyword(s):  
Health Services ◽  
First Nations ◽  
Participatory Research ◽  
Preliminary Evidence ◽  
First Nation ◽  
Team Meetings ◽  
Point Of Entry ◽  
Working Together ◽  
Indigenous Worldview ◽  
Sharing Circles

Introduction: Emergency Departments (EDs) are frequently the first point of entry to access health services for First Nation (FN) members. In Alberta, FN members visit EDs at almost double the rate of non-FN persons. Furthermore, preliminary evidence demonstrates differences in ED experience for FN members as compared to the general population. The Alberta First Nations Information Governance Centre, Maskwacis Health Services, Yellowhead Tribal Council, Treaty 8 First Nations of Alberta, and Alberta Health Services are working together to research FN members ED experiences and concerns. Methods: This is participatory research guided by a two-eyed seeing approach that acknowledges the equal value of both Western and Indigenous worldviews. FN and non-FN leaders researchers are full partners in the development of the research project. Six sharing circles will be held in February 2018 across Alberta, with Elders, FN patients, FN and non-FN clinicians and FN and non-FN administrators. Sharing circles are similar to focus groups, but emphasize everyone having a turn to speak and demonstrating respect among participants in accordance with FN protocols. Elders will select the questions for discussion based on topics that arose in initial team meetings. Sharing circle discussions will be audio recorded and transcribed. Analysts will include both Western and Indigenous worldview researchers, who will collaboratively interpret findings. Elders will review, discuss, contextualize and expand upon study findings. The research is also guided by FN principles of Ownership, Control, Access, and Possession of FN information. It is through these principles that First Nation research projects can truly be classified as FN lead and driven. Results: Based on initial team meeting discussions, results of sharing circles are expected to provide insights on issues such as: healing, patient-provider communication (verbal and non-verbal), shared decision making, respect for patient preferences, experiences leading to trust or distrust, understandings of wait times and triage, times when multiple (repeat) ED presentations occur, distances travelled for care, choosing specific EDs when seeking care, impacts of stereotypes about FN patients, and racism and reconciliation. Conclusion: Understanding FN ED experience and bringing FN perspectives to Western conceptions of the goals and provision of ED care are important steps toward reconciliation.

Contribution of Aboriginal Community-Controlled Health Services to improving Aboriginal health: an evidence review

2018 ◽  
Vol 42 (2) ◽  
pp. 218 ◽  
Author(s):  
Megan Ann Campbell ◽  
Jennifer Hunt ◽  
David J. Scrimgeour ◽  
Maureen Davey ◽  
Victoria Jones
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Conceptual Framework ◽  
Aboriginal People ◽  
Aboriginal Health ◽  
Well Being ◽  
Aboriginal Peoples ◽  
Aboriginal Community ◽  
Primary Health

Objective Aboriginal Community-Controlled Health Services (ACCHSs) deliver comprehensive, culturally appropriate primary health care to Aboriginal people and communities. The published literature acknowledging and supporting the roles of ACCHSs in improving Aboriginal health is limited. This paper seeks to collate and analyse the published evidence supporting the contribution of ACCHSs to improving the health of Aboriginal people. Methods A conceptual framework for exploring the contribution of ACCHSs was developed, drawing on the literature on the core functions of ACCHSs and the components of quality primary health care. This framework was used to structure the search strategy, inclusion criteria and analysis of the review. Results ACCHSs contribute to improving the health and well being of Aboriginal peoples through several pathways, including community controlled governance, providing employment and training, strengthening the broader health system and providing accessible, comprehensive primary health care. Conclusions ACCHSs make a range of important contributions to improving the health of Aboriginal peoples that are under-acknowledged. Consideration of the different ways ACCHSs contribute to improving Aboriginal health is of value in the design and evaluation of programs and policies that aim to improve the health of Aboriginal peoples. What is known about the topic? Aboriginal communities have long argued the vital role of ACCHSs in improving Aboriginal health. What does this paper add? This paper provides a comprehensive collation and analysis of the evidence supporting the contributions ACCHSs are making to improving Aboriginal health. What are the implications for practitioners? The conceptual framework and findings outlined in this paper illustrate that ACCHSs are making important contributions to improving Aboriginal health through several pathways. This information can be used to ensure actions to improve Aboriginal health are appropriate and effective. There are important gaps in the literature that researchers need to address.

scholarly journals Understanding the Current Complexities of Indigenous Land Tenure and Toponymy: The Importance of Historical Indigenous Cartography with Indigenous Contributions to Euro/American/Canadian Cartography

2021 ◽  
Author(s):  
Daniel G. G Cole ◽  
and E. Richard Hart
Keyword(s):  
First Nations ◽  
Land Tenure ◽  
Aboriginal People ◽  
First Nation ◽  
Trade Networks ◽  
History Of Cartography ◽  
Indigenous Groups ◽  
Political Boundaries ◽  
Formal Concepts ◽  
History Of

In recent years, many libraries and archives have started digitizing their collections thus making maps by Indigenous peoples more easily available for scholars to study. While a number of these maps were discussed by G. Malcolm Lewis in the History of Cartography series (volume 2, book 3, Chapter 4: 1984), more have since been found and disseminated. These maps are critical in understanding the historic and current land tenure of Indigenous groups. Further, Indigenous claims to land can be seen in their connections via toponymy. European concepts of territory and political boundaries did not coincide with First Nation/American Indian views resulting in the mistaken view that Natives did not have formal concepts of their territories. Further, Tribes/First Nations with cross-border territory have special jurisdictional problems. This paper will illustrate how many Native residents were very spatially cognizant of their own lands, as well as neighboring nations’ lands, overlaps between groups, hunting territories, populations, and trade networks. Currently, the Sinixt First Nation provides a perfect example of how an Aboriginal people are inputting and using a GIS representation of their territory with proper toponymy and use areas.

scholarly journals What to do after a data breach? Examining apology and compensation as response strategies for health service providers

2021 ◽  
Author(s):  
Kristin Masuch ◽  
Maike Greve ◽  
Simon Trang
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Data Breach ◽  
Data Breaches ◽  
Response Strategies ◽  
Customer Information ◽  
Health Service Providers ◽  
Recovery Strategies ◽  
Fitness Tracker

AbstractInnovative IT-enabled health services promise tremendous benefits for customers and service providers alike. Simultaneously, health services by nature process sensitive customer information, and data breaches have become an everyday phenomenon. The challenge that health service providers face is to find effective recovery strategies after data breaches to retain customer trust and loyalty. We theorize and investigate how two widely applied recovery actions (namely apology and compensation) affect customer reactions after a data breach in the specific context of fitness trackers. Drawing on expectation confirmation theory, we argue that the recovery actions derived from practice, apology, and compensation address the assimilation-contrast model’s tolerance range and, thus, always lead to satisfaction with the recovery strategy, which positively influences customers’ behavior. We employ an experimental investigation and collect data from fitness tracker users during a running event. In the end, we found substantial support for our research model. Health service providers should determine specific customer expectations and align their data breach recovery strategies accordingly.

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