Impacts of racism on First Nations patients' emergency care: results of a thematic analysis of healthcare provider interviews in Alberta, Canada

被引：16

作者：

McLane, Patrick ^{[1
,2
]}

Mackey, Leslee ^{[2
]}

Holroyd, Brian R. ^{[1
,2
]}

Fitzpatrick, Kayla ^{[3
]}

Healy, Chyloe ^{[4
]}

Rittenbach, Katherine ^{[1
,5
,6
]}

Plume, Tessy Big ^{[7
]}

Bill, Lea ^{[8
]}

Bird, Anne ^{[9
]}

Healy, Bonnie ^{[4
]}

Janvier, Kristopher ^{[10
]}

Louis, Eunice ^{[11
]}

Barnabe, Cheryl ^{[12
,13
]}

机构：

[1] Alberta Hlth Serv, Corp Off, Strateg Clin Networks, Seventh St Plaza,14th Floor,North Tower, Edmonton, AB T5J 3E4, Canada

[2] Univ Alberta, Dept Emergency Med, 790 Univ Terrace Bldg,8303-112 St, Edmonton, AB T6G 2T4, Canada

[3] Univ Alberta, Sch Publ Hlth, Edmonton Clin Hlth Acad, 3-341,11405 87 Ave NW, Edmonton, AB T6G 1C9, Canada

[4] Blackfoot Confederacy Tribal Council, POB 916, Standoff, AB T0L 1Y0, Canada

[5] Univ Calgary, Dept Psychiat, Hlth Sci Ctr, 3330 Hosp Dr NW, Calgary, AB T2N 4N1, Canada

[6] Univ Alberta, Dept Psychiat, 1E1 Walter Mackenzie Hlth Sci Ctr,8440 112 St NW, Edmonton, AB T6G 2B7, Canada

[7] Stoney Nakoda Tsuutina Tribal Council, POB 350,9911 Chiila Blvd SW, Tsuutina, AB T2W 6H6, Canada

[8] Alberta First Nat Informat Governance Ctr, Suite 101,535 8 Ave SE, Calgary, AB T2G 5S9, Canada

[9] Paul First Nat Hlth Serv, Box 89, Duffield, AB TOE 0N0, Canada

[10] Kee Tas Kee Now Hlth Serv, KTC Sub Off, 17015-105 Ave NW, Edmonton, AB T5S 1M5, Canada

[11] Maskwacis Hlth Serv, Box 100,14 Ermineskin Ave, Maskwacis, AB, Canada

[12] Univ Calgary, Hlth Sci Ctr, Dept Med, 3330 Hosp Dr NW, Calgary, AB T2N 4N1, Canada

[13] Univ Calgary, Hlth Sci Ctr, Dept Community Hlth Sci, 3330 Hosp Dr NW, Calgary, AB T2N 4N1, Canada

来源：

BMC HEALTH SERVICES RESEARCH | 2022年 / 22卷 / 01期

关键词：

Indigenous peoples; First Nations; Indigenous health; Emergency medicine; Racism; Discrimination; Healthcare providers; Health services; Medical education; Cultural safety; ACCESS; EXPERIENCES; MEDICINE; BARRIERS; PEOPLE;

D O I：

10.1186/s12913-022-08129-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background First Nations people experience racism in society and in the healthcare system. This study aimed to document emergency care providers' perspectives on care of First Nations patients. First Nations research partner organizations co-led all aspects of the research. Methods Sixteen semi-structured interviews were conducted with Alberta emergency department (ED) physicians and nurses between November 2019 and March 2020. Results ED providers reported that First Nations patients are exposed to disrespect through tone and body language, experience overt racism, and may be neglected or not taken seriously. They described impacts of racist stereotypes on patient care, and strategies they took as individuals to address patient barriers to care. Recognized barriers to care included communication, resources, access to primary care and the ED environment itself. Conclusions Results may inform the content of anti-racist and anti-colonial pedagogy that is contextually tailored to ED providers, and inform wider systems efforts to counter racism against First Nations members and settler colonialism within healthcare.

引用

页数：18

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