Identifying barriers to healthcare delivery and access in the Circumpolar North: important insights for health professionals

被引：69

作者：

Huot, S. ^{[1
]}

Ho, H. ^{[2
]}

Ko, A. ^{[2
]}

Lam, S. ^{[2
]}

Tactay, P. ^{[2
]}

MacLachlan, J. ^{[3
]}

Raanaas, R. K. ^{[4
]}

机构：

[1] Univ British Columbia, Dept Occupat Sci & Occupat Therapy, Vancouver, BC, Canada

[2] Univ Western Ontario, Sch Occupat Therapy, London, ON, Canada

[3] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[4] Norwegian Univ Life Sci, Dept Publ Hlth Sci, As, Norway

来源：

INTERNATIONAL JOURNAL OF CIRCUMPOLAR HEALTH | 2019年 / 78卷 / 01期

关键词：

Arctic; health; Indigenous; scoping review; AIR AMBULANCE; COMMUNITIES; CHALLENGES; SERVICES; INUIT;

D O I：

10.1080/22423982.2019.1571385

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Lack of access to healthcare services for people living in the Circumpolar North may have important consequences for their health and well-being, both in terms of the actual treatment and other possible health-related consequences intertwined with their life situation. The aim of the present study was to identify the specific challenges to healthcare service delivery and access for populations in the Circumpolar North that are addressed in contemporary literature. A scoping review of literature published between 2005 and 2016 was conducted and 43 articles were selected for inclusion into the review. The review findings address 4 main themes identified in the literature: (1) the influence of physical geography, (2) healthcare provider-related barriers, (3) the importance of culture and language and (4) the impact of systemic factors. The review of the literature enabled us to identify existing gaps in both health service access and issues discussed in the available literature, particularly for informing healthcare services in the Circumpolar North, as well as point towards opportunities for future research. The thematic findings drawn from interdisciplinary and international literature inform understandings of the impact of health system barriers on healthcare services and the opportunities for Northern residents to support their own health.

引用

页数：8

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