SynthesisCanadian family physician Medecin de famille canadien2019
Educating for Equity Care Framework: Addressing social barriers of Indigenous patients with type 2 diabetes.
Synthesis in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled 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.
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
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of type 2 diabetes among global Indigenous adult populations: a systematic review.Diabetologia · 2026Pooled it
- Reimagining Indigenous healthcare through a readiness to practice lens: A quantitative content analysis of the empirical literature.Canadian journal of public health = Revue canadienne de sante publique · 2025Pooled it
- Global landscape of kidney health across Indigenous populations.Nature reviews. Nephrology · 2026Review
- Influence of the COVID-19 pandemic on chronic disease management among indigenous people in Canada.Frontiers in public health · 2026Article
- Article
- Indigenous oral health equity: The path forward.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025Review
- Experiential Evidence of Systemic Racism for Indigenous Peoples Navigating Transplantation in Canada.Kidney international reports · 2025Article
- Voluntary self-disclosed Indigenous identity of patients in four Canadian health care settings: A multiple-site qualitative case study.Journal of health services research & policy · 2025Article
- Barriers and supports for Indigenous youth and young adults with childhood- onset chronic health conditions transitioning from pediatric to adult healthcare: a qualitative study.International journal for equity in health · 2024Article
- Advancing health equity for Indigenous peoples in Canada: development of a patient complexity assessment framework.BMC primary care · 2024Article
- Colonial drivers and cultural protectors of brain health among Indigenous peoples internationally.Frontiers in public health · 2024Review
- Precision health equity for racialized communities.International journal for equity in health · 2023Review
- Article
- Article
- A realist review of best practices and contextual factors enhancing treatment of opioid dependence in Indigenous contexts.Harm reduction journal · 2023Article
- Diabetic foot complications among Indigenous peoples in Canada: a scoping review through theFrontiers in endocrinology · 2023Article
- Developing and evaluating a SAFER model to screen for diabetes complications among people experiencing homelessness: a pilot study protocol.Pilot and feasibility studies · 2022Article
- Indigenous strengths-based approaches to healthcare and health professions education - Recognising the value of Elders' teachings.Health education journal · 2022Article
- Structural competency in emergency medical education: A scoping review and operational framework.AEM education and training · 2022Article
- Propelled by the Pandemic: Responses and Shifts in Primary Healthcare Models for Indigenous Peoples.Healthcare policy = Politiques de sante · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo present a clinical framework for addressing critical social elements for Indigenous patients with type 2 diabetes. SOURCES OF INFORMATION: The Educating for Equity (E4E) Care Framework was developed through a rigorous analysis of qualitative research that included the perspectives of Indigenous patients (n = 32), physicians (n = 28), and Indigenous health curriculum developers (n = 5) across Canada. A national advisory group of Indigenous health experts, educators, leaders, physicians, and community members provided feedback on integrating analysis from primary research into recommendations for physicians. Systematic literature reviews were conducted and a nominal group technique process helped forge research team consensus around the framework's themes and recommendations. MAIN MESSAGE: For Indigenous patients with type 2 diabetes, social factors arising from the legacy of colonization are often barriers to improved diabetes outcomes, while culture is often not recognized as a facilitator in diabetes management. Structural competency in balance with cultural safety should be central to the clinical process when negotiating diabetes management with Indigenous patients. The E4E Care Framework presented in this article provides recommendations to navigate this terrain.
conclusionA focus on social and cultural elements is fundamental to effective diabetes care among Indigenous patients. The E4E Care Framework is a resource that can help clinicians improve Indigenous patients' capacity for change in a way that acknowledges the social factors that affect the increasing diabetes rates, while using a cultural lens to facilitate improved outcomes.
Indexed as
Identifiers
30674510PMC6347314What 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.