ArticleBMC health services research2019
Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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Who cites it
14 citing papers in PubMed, 21 citations in OpenAlex.
- When systems fall apart: the performance of the nursing station model in communities with populations over 2,500 peoples.International journal of circumpolar health · 2026Article
- Observational
- How systemic racism results in poorer outcomes for First Nations, and what First Nations are doing about it: the example of kidney health.BMC health services research · 2025Article
- Real-time virtual supports improving health equity and access in British Columbia.Healthcare management forum · 2023Article
- Observational
- Impacts of racism on First Nations patients' emergency care: results of a thematic analysis of healthcare provider interviews in Alberta, Canada.BMC health services research · 2022Article
- 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 · 2022Article
- Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District.Revista brasileira de enfermagem · 2022Article
- First Nations' hospital readmission ending in death: a potential sentinel indicator of inequity?International journal of circumpolar health · 2021Article
- First Nations emergency care in Alberta: descriptive results of a retrospective cohort study.BMC health services research · 2021Article
- Manitoba First Nation peoples' use of hospital-based mental health services: trends and solutions.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- The relationship between rates of hospitalization for ambulatory care sensitive conditions and local access to primary healthcare in Manitoba First Nations communities : Results from the Innovation in Community-based Primary Healthcare Supporting Transformation in the Health of First Nations in Manitoba (iPHIT) study.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- Inequalities in avoidable hospitalisation in large urban areas: retrospective observational study in the metropolitan area of Milan.BMJ open · 2020Observational
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundSince the 1960s, the federal government has been providing or funding a selection of community-based primary healthcare (PHC) programs on First Nations reserves. A key question is whether local access to PHC can help address health inequities in First Nations on-reserve communities in British Columbia (BC).
objectivesThis paper examines whether hospitalization for Ambulatory Care Sensitive Conditions (1) can be used as a proxy measure for the organization of PHC in First Nations reserve areas; and (2) is associated with premature mortality rates.
methodsIn this descriptive correlational study, we used administrative data available through Population Data BC, including demographic and ecological information (i.e. geo-codes indicating location of residence). We used two different measures of hospitalization: rates of episodic hospital care and rates of length of stay. We correlated hospitalization rates with premature mortality rates and the level of care available in First Nations communities, which depends on a federal funding formula based upon community size and, more specifically, the level of isolation from a provincial point of care.
resultsFirst Nations communities in BC that have local 24/7 access to PHC services have similar rates of hospitalization for ACSC to those living in urban centres. This is demonstrated by the similarities in the strengths of the correlation between premature mortality rates and rates of avoidable hospitalization for conditions treatable in a PHC setting. This is not the case for communities served by a Health Centre (weaker correlation) and for communities serviced by a Health Station or with no on-reserve point of care (no correlation).
conclusionsImproving access to PHC services in First Nations communities can be associated with a significant reduction in avoidable hospitalization and premature mortality rates. The method we tested is an important tool that could serve health care planning decisions in small communities.
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Registered trials
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