Evidence map›Paper›PMID 29898727›Full record

ReviewBMC health services research2018

Factors that impact access to ongoing health care for First Nation children with a chronic condition.

Julieann Coombes, Kate Hunter, Tamara Mackean, Andrew J A Holland, Elizabeth Sullivan, Rebecca Ivers

Open access · goldAbstract readReview
In one paragraph

Review in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Baseline characteristics of participants in the NAVKIDSPediatric nephrology (Berlin, Germany) · 2023
    Trial
  5. The relationship between Indigenous health and relevant sector Standards in Aotearoa New Zealand, Australia, and Canada: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
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  10. Observational
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  17. Enablers and Barriers to Accessing Healthcare Services for Aboriginal People in New South Wales, Australia.International journal of environmental research and public health · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Julieann CoombesThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia. jcoombes@georgeinstitute.org.au.ORCID 0000-0001-7212-8693
Kate HunterThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia.
Tamara MackeanThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia.
Andrew J A HollandThe Children's Hospital, Westmead, Cnr Hawkesbury Rd and Hainsworth St, Westmead, NSW, 2145, Australia.
Elizabeth SullivanUniversity of Technology Sydney, 15 Broadway St, Ultimo, NSW, 2007, Australia.
Rebecca IversThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia.
University of Technology Sydney · AUFlinders University · AUThe University of Sydney · AUUNSW Sydney · AU

Funding

National Health and Medical Research Council APP1059038NSW Ministry of Health RM8University of Technology Sydney 12814986
6 · The paper itself

Abstract

backgroundAccess to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child's health and well-being, but disparities and inequality in health care systems have been almost impossible to eradicate for First Nation people globally. The objective of this review is to identify the factors that impact access and ongoing care for First Nation children globally with a chronic condition.

methodsAn extensive systematic search was conducted of nine electronic databases to identify primary studies that explored factors affecting access to ongoing services for First Nation children with a chronic disease or injury. Due to the heterogeneity of included studies the Mixed Method Appraisal Tool (MMAT) was used to assess study quality.

resultsA total of six studies from Australia, New Zealand and Canada were identified and included in this review. Four studies applied qualitative approaches using in-depth semi structured interviews, focus groups and community fora. Two of the six studies used quantitative approaches. Facilitators included the utilisation of First Nation liaison workers or First Nation Health workers. Key barriers that emerged included lack of culturally appropriate health care, distance, language and cultural barriers, racism, the lack of incorporation of First Nation workers in services, financial difficulties and transport issues.

conclusionThere are few studies that have identified positive factors that facilitate access to health care for First Nation children. There is an urgent need to develop programs and processes to facilitate access to appropriate health care that are inclusive of the cultural needs of First Nation children.

Indexed as

AustraliaCanadaChildChild HealthChronic DiseaseDelivery of Health CareFemaleFocus GroupsHealth PersonnelHealth ServicesHealth Services AccessibilityHealth Services, IndigenousHumansLongitudinal StudiesMaleNew ZealandAccessChildrenChronic conditionFirst NationHealthcare

Identifiers

PMID29898727
PMCPMC6001071
OpenAlexW2807816495

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.