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Advancing health equity for Indigenous peoples in Canada: development of a patient complexity assessment framework.
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- Author(s): Sehgal, Anika1 (AUTHOR) ; Henderson, Rita1 (AUTHOR); Murry, Adam2 (AUTHOR); Crowshoe, Lynden1 (AUTHOR); Barnabe, Cheryl3 (AUTHOR)
- Source:
BMC Primary Care. 4/29/2024, Vol. 25 Issue 1, p1-15. 15p.- Subject Terms:
*PREVENTION of racism; *CONSENSUS (Social sciences); *HEALTH literacy; *HEALTH services accessibility; *PSYCHOLOGICAL resilience; *VIOLENCE; *COMPUTER software; *MEDICAL care; *INTERVIEWING; *CULTURE; *JUDGMENT sampling; *EXPERIENCE; *PSYCHOLOGY; *SURVEYS; *EMAIL; *CONCEPTUAL structures; *LOGIC; *ABORIGINAL Canadians; *DELPHI method; *HEALTH of indigenous peoples - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Indigenous patients often present with complex health needs in clinical settings due to factors rooted in a legacy of colonization. Healthcare systems and providers are not equipped to identify the underlying causes nor enact solutions for this complexity. This study aimed to develop an Indigenous-centered patient complexity assessment framework for urban Indigenous patients in Canada. Methods: A multi-phased approach was used which was initiated with a review of literature surrounding complexity, followed by interviews with Indigenous patients to embed their lived experiences of complexity, and concluded with a modified e-Delphi consensus building process with a panel of 14 healthcare experts within the field of Indigenous health to identify the domains and concepts contributing to health complexity for inclusion in an Indigenous-centered patient complexity assessment framework. This study details the final phase of the research. Results: A total of 27 concepts spanning 9 domains, including those from biological, social, health literacy, psychological, functioning, healthcare access, adverse life experiences, resilience and culture, and healthcare violence domains were included in the final version of the Indigenous-centered patient complexity assessment framework. Conclusions: The proposed framework outlines critical components that indicate the presence of health complexity among Indigenous patients. The framework serves as a source of reference for healthcare providers to inform their delivery of care with Indigenous patients. This framework will advance scholarship in patient complexity assessment tools through the addition of domains not commonly seen, as well as extending the application of these tools to potentially mitigate racism experienced by underserved populations such as Indigenous peoples. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of BMC Primary Care is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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