Evidence map›Paper›PMID 30382912›Full record

ArticleBMC health services research2018

National Survey of Indigenous primary healthcare capacity and delivery models in Canada: the TransFORmation of IndiGEnous PrimAry HEAlthcare delivery (FORGE AHEAD) community profile survey.

Jordan W Tompkins, Selam Mequanint, Douglas Edward Barre, Meghan Fournie, Michael E Green, Anthony J Hanley, Mariam Naqshbandi Hayward, Merrick Zwarenstein, Stewart B Harris, FORGE AHEAD Program Team

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02234973 (Transformation of Indigenous Primary Healthcare Delivery), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT02234973 completednot on this map

Transformation of Indigenous Primary Healthcare Delivery (FORGE AHEAD): Community-driven Innovations and Strategic Scale-up Toolkits

Typeobservational_patient_registrySponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2014 to 2020Enrolled500ConditionsType 2 Diabetes MellitusArmsQuality Improvement
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. First Nations status and emergency department triage scores in Alberta: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  3. Article
  4. Review
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

10 authors at 3 institutions in 1 country.

Jordan W TompkinsCentre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, 1511 Richmond Street, London, ON, N6K 3K7, Canada. jordan.tompkins@schulich.uwo.ca.
Selam MequanintCentre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, 1511 Richmond Street, London, ON, N6K 3K7, Canada.
Douglas Edward BarreDepartment of Health Sciences and Emergency Management, School of Professional Studies, Cape Breton University, Sydney, NS, Canada.
Meghan FournieCentre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, 1511 Richmond Street, London, ON, N6K 3K7, Canada.
Michael E GreenDepartments of Family Medicine and Public Health Sciences, Queen's University, Kingston, ON, Canada.
Anthony J HanleyDepartments of Nutritional Sciences and Medicine and the Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Mariam Naqshbandi HaywardCentre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, 1511 Richmond Street, London, ON, N6K 3K7, Canada.
Merrick ZwarensteinCentre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, 1511 Richmond Street, London, ON, N6K 3K7, Canada.
Stewart B HarrisCentre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, 1511 Richmond Street, London, ON, N6K 3K7, Canada.
FORGE AHEAD Program Team
Western University · CACape Breton University · CAUniversity of Toronto · CA

Funding

Canadian Institutes of Health Research MCO 117675, 297910, PME-133824
6 · The paper itself

Abstract

backgroundThere is a significant deficiency of national health information for Indigenous peoples in Canada. This manuscript describes the Community Profile Survey (CPS), a community-based, national-level survey designed to identify and describe existing healthcare delivery, funding models, and diabetes specific infrastructure and programs in Indigenous communities.

methodsThe CPS was developed collaboratively through FORGE AHEAD and the First Nations and Inuit Health Branch of Health Canada. Regional and federal engagement and partnerships were built with Indigenous organizations to establish regionally-tailored distribution of the 8-page CPS to 440 First Nations communities. Results were collected (one survey per community) and reported in strata by region, with descriptive analyses performed on all variables. Results were shared with participating communities and regional/federal partners through tailored reports.

resultsA total of 84 communities completed the survey (19% response rate). The majority of communities had a health centre/office to provide service to their patients with diabetes, with limited on-reserve hospitals for ambulatory or case-sensitive conditions. Few healthcare specialists were located on-site, with patients frequently travelling off-site (> 40 km) for diabetes-related complications. The majority of healthcare professionals on-site were Health Directors, Community Health Nurses, and Home Care Nurses. Many communities had a diabetes registry but few reported a diabetes surveillance system. Regional variation in healthcare services, diabetes programs, and funding models were noted, with most communities engaging in some type of innovative strategy to improve care for patients with diabetes.

conclusionsThe CPS is the first community-based, national-level survey of its kind in Canada. Although the response rate was low, the CPS was distributed and successfully administered across a broad range of First Nations communities, and future considerations would benefit from a governance structure and leadership that strengthens community engagement, and a longitudinal research approach to increase the representativeness of the data. This type of information is important for communities and regions to inform decision making (maintain successes, and identify areas for improvement), strengthen health service delivery and infrastructure, increase accessibility to healthcare personnel, and allocate funding and/or resources to build capacity and foster a proactive chronic disease prevention and management approach for Indigenous communities across Canada.

trial registrationCurrent ClinicalTrial.gov protocol ID NCT02234973 . Registered: September 9, 2014.

Indexed as

CanadaChronic DiseaseDecision MakingDelivery of Health CareHealth PersonnelHealth ResourcesHealth Services, IndigenousHospital Bed CapacityHospitalsHumansIndians, North AmericanLeadershipMinority GroupsNurses, Community HealthOrganizationsPrimary Health CareChronic diseaseDiabetesIndigenousNationalPrimary healthcareQuality improvementSurvey

Identifiers

PMID30382912
PMCPMC6211407
OpenAlexW2899279365

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.