ArticleInternational journal of circumpolar health2017
An environmental scan of emergency response systems and services in remote First Nations communities in Northern Ontario.
Article in International journal of circumpolar health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The availability and delivery of culturally responsive Australian Aboriginal infant resuscitation education programmes: a structured literature review.Primary health care research & development · 2023Pooled it
- The intersection of emergency care, human resources and health equity: a comparative mapping of policy and systems in Australia, Canada, Rwanda and South Africa.BMJ global health · 2026Article
- Environmental Scanning Model in Health System and Implementation Steps: A Scoping Review.Iranian journal of public health · 2024Article
- Role satisfaction among community volunteers working in mass COVID-19 vaccination clinics, Waterloo Region, Canada.BMC public health · 2023Article
- COVID-19 and zoonoses in Brazil: Environmental scan of one health preparedness and response.One health (Amsterdam, Netherlands) · 2022Article
- Article
- Organizational supports for knowledge translation in paediatric health centres and research institutes: insights from a Canadian environmental scan.Implementation science communications · 2021Article
- The use of the environmental scan in health services delivery research: a scoping review protocol.BMJ open · 2019Article
- Conceptualizing and Managing Medical Emergencies Where No Formal Paramedical System Exists: Perspectives from a Remote Indigenous Community in Canada.International journal of environmental research and public health · 2018Article
- The need for community-led, integrated and innovative monitoring programmes when responding to the health impacts of climate change.International journal of circumpolar healthArticle
- Improving access to surgical care for Inuit communities in Nunavik: a cost-savings analysis of a surgeon outreach program.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 24,000 Ontarians live in remote Indigenous communities with no road access. These communities are a subset of Nishnawbe Aski Nation (NAN), a political grouping of 49 First Nations communities in Northern Ontario, Canada. Limited information is available regarding the status of emergency care in these communities.
objectiveWe aimed to understand emergency response systems, services, and training in remote NAN communities.
designWe used an environmental scan approach to compile information from multiple sources including community-based participatory research. This included the analysis of data collected from key informant interviews (n=10) with First Nations community health leaders and a multi-stakeholder roundtable meeting (n=33) in October 2013.
resultsQualitative analysis of the interview data revealed four issues related to emergency response systems and training: (1) inequity in response capacity and services, (2) lack of formalised dispatch systems, (3) turnover and burnout in volunteer emergency services, and (4) challenges related to first aid training. Roundtable stakeholders supported the development of a community-based emergency care system to address gaps.
conclusionsExisting first response, paramedical, and ambulance service models do not meet the unique geographical, epidemiological and cultural needs in most NAN communities. Sustainable, context-appropriate, and culturally relevant emergency care systems are needed.
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