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- Title
Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease.
- Authors
PINERO DE PLAZA, MARIA ALEJANDRA; GEBREMICHAEL, LEMLEM; BROWN, SHANNON; CHIUNG-JUNG WU; CLARK, ROBYN A.; MCBRIDE, KATHARINE; HINES, SONIA; PEARSON, ODETTE; MOREY, KIM
- Abstract
Introduction: Failings in providing continuity of care following an acute event for a chronic disease contribute to care inequities for First Nations Peoples in Australia, Canada, and Aotearoa (New Zealand). Methods: A rapid narrative review, including primary studies published in English from Medline, Embase, PsycINFO, and Cochrane Central, concerning chronic diseases (cancer, cardiovascular disease, chronic kidney disease, diabetes, and related complications), was conducted. Barriers and enablers to continuity of care for First Nations Peoples were explored considering an empirical lens from the World Health Organization framework on integrated person-centred health services. Results: Barriers included a need for more community initiatives, health and social care networks, and coaching and peer support. Enabling strategies included care adapted to patients' cultural beliefs and behavioural, personal, and family influences; continued and trusting relationships among providers, patients, and caregivers; and provision of flexible, consistent, adaptable care along the continuum. Discussion: The support and co-creation of care solutions must be a dialogical participatory process adapted to each community. Conclusions: Health and social care should be harmonised with First Nations Peoples' cultural beliefs and family influences. Sustainable strategies require a co-design commitment for well-funded flexible care plans considering coaching and peer support across the lifespan.
- Subjects
INDIGENOUS Australians; FIRST Nations of Canada; PSYCHOLOGY information storage &; retrieval systems; MEDICAL databases; WORLD Health Organization; CULTURE; HEALTH services accessibility; MEDICAL information storage &; retrieval systems; CAREGIVERS; CHRONIC diseases; SOCIAL networks; SYSTEMATIC reviews; RESEARCH methodology; PATIENT-centered care; COMMUNITY health services; CONTINUUM of care; CONCEPTUAL structures; QUALITATIVE research; HEALTH attitudes; ABORIGINAL Canadians; INTERPERSONAL relations; QUALITY assurance; RESEARCH funding; DESCRIPTIVE statistics; HEALTH equity; MEDLINE; INTEGRATED health care delivery; POLICY sciences
- Publication
International Journal of Integrated Care (IJIC), 2023, Vol 23, Issue 4, p1
- ISSN
1568-4156
- Publication type
Article
- DOI
10.5334/ijic.7643