ArticleBMC health services research2016
Managing Matajoosh: determinants of first Nations' cancer care decisions.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 44 citations in OpenAlex.
- Rural Indigenous Experiences of Healthcare Services: A Scoping Review.The Australian journal of rural health · 2026Article
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- Bridging the distance: understanding access to healthcare through stories from Gwich'in medical travellers in Northwest Territories.International journal of circumpolar health · 2025Article
- Enhancing the Cancer Care Journey for Indigenous Patients: A Guide for Oncology Nurses.Current oncology (Toronto, Ont.) · 2025Article
- Partnering with First Nations in Northern British Columbia Canada to Reduce Inequity in Access to Genomic Research.International journal of environmental research and public health · 2023Article
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- An integrative review on the oncology nurse navigator role in the Canadian context.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2023Article
- Recognition of inherent biases in administrative data.Canadian family physician Medecin de famille canadien · 2022Article
- The Role of the Indigenous Patient Navigator: A Scoping Review.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2022Article
- Equity-Oriented Healthcare: What It Is and Why We Need It in Oncology.Current oncology (Toronto, Ont.) · 2022Article
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- Patient complexity assessment tools containing inquiry domains important for Indigenous patient care: A scoping review.PloS one · 2022Article
- A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey.Nursing inquiry · 2022Article
- Toward equitable access to oncology care for Indigenous Peoples in Canada: Implications for nursing.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022Article
- Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach.Current oncology (Toronto, Ont.) · 2021Article
- First Nations' hospital readmission ending in death: a potential sentinel indicator of inequity?International journal of circumpolar health · 2021Article
- Experiences of Inuit in Canada who travel from remote settings for cancer care and impacts on decision making.BMC health services research · 2021Article
- Impact of colorectal cancer screening participation in remote northern Canada: A retrospective cohort study.World journal of gastroenterology · 2020Article
- Perspectives of Nunavut patients and families on their cancer and end of life care experiences.International journal of circumpolar health · 2020Article
- Health Policy as a Barrier to First Nations Peoples' Access to Cancer Screening.Healthcare policy = Politiques de sante · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAccessing cancer treatment requires First Nation peoples living in rural and remote communities to either commute to care, or to relocate to an urban centre for the length or part of the treatment. While Canadians living in rural and remote communities must often make difficult decisions following a cancer diagnosis, such decisions are further complicated by the unique policy and socio-historical contexts affecting many First Nation peoples in Canada. These contexts often intersect with negative healthcare experiences which can be related to jurisdictional confusion encountered when seeking care. Given the rising incidence of cancer within First Nation populations, there is a growing potential for negative health outcomes.
methodsThe analysis presented in this paper focuses on the experience of First Nation peoples' access to cancer care in the province of Manitoba. We analyzed policy documents and government websites; interviewed individuals who have experienced relocation (N = 5), family members (N = 8), healthcare providers and administrators (N = 15).
resultsAlthough the healthcare providers (social workers, physicians, nurses, patient navigators, and administrators) we interviewed wanted to assist patients and their families, the focus of care remained informed by patients' clinical reality, without recognition of the context which impacts and constrains access to cancer care services. Contrasting and converging narratives identify barriers to early diagnosis, poor coordination of care across jurisdictions and logistic complexities that result in fatigue and undermine adherence. Providers and decision-makers who were aware of this broader context were not empowered to address system's limitations.
conclusionsWe argue that a whole system's approach is required in order to address these limitations.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.