ReviewHealthcare (Basel, Switzerland)2020
Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review.
Review in Healthcare (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.
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
81 citing papers in PubMed, 156 citations in OpenAlex.
- Experiences of healthcare access during the COVID-19 pandemic in remote Indigenous communities in Northwest Territories, Canada.International journal of circumpolar health · 2026Article
- Exploring the use of assigned general practitioner and emergency health care in Sami and non-Sami. A repeated cross-sectional study (2012-2019).Scandinavian journal of primary health care · 2026Article
- Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.Global health action · 2026Article
- Epidemiology of appendicitis in Ecuador, 2004-2024: a national time-series analysis of incidence, trends, geographic variation, and case-fatality rates.Lancet regional health. Americas · 2026Article
- Strengthening preventive cancer screening in Northern Ontario, Canada: Structural supports and systemic barriers with the all nations health partners Ontario health team.Preventive medicine reports · 2026Article
- Racial and Social Disparities in Primary Healthcare Access and Wait Times in Canada: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Healthcare Access for Older Indigenous Women in Latin America: A Scoping Review of Barriers, Facilitators, and Knowledge Gaps.Nursing reports (Pavia, Italy) · 2026Review
- Article
- Research Partnerships in Rural and Remote Virtual Health Innovation Projects: A Scoping Review.The Australian journal of rural health · 2026Article
- Strengthening Culturally Responsive Mental Health Supports for Crises Preparedness: Lessons From Indigenous Educator's Experiences During COVID-19 Pandemic.The Journal of school health · 2026Article
- Artificial Intelligence-Enhanced Wound Care to Improve Access, Efficacy, and Equity in Wound Care for Older Adults in Rural and Remote Regions of Canada.JMIR nursing · 2026Article
- A scoping review of frameworks that guide race and ethnicity data collection in health settings: Learnings for the Canadian health setting.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Good Practices and Challenges in the Collaboration of Pharmacists with General Practitioners-A Scoping Review.Pharmacy (Basel, Switzerland) · 2026Review
- Advancing brain health equity with Indigenous peoples: A critical imperative.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Understanding regulatory, structural, and relational barriers to offering accessible veterinary care: Results from a qualitative study of Canadian care providers.The Canadian veterinary journal = La revue veterinaire canadienne · 2026Article
- Denialism: repudiation of anti-Indigenous racism in healthcare in Canada.Frontiers in public health · 2026Article
- Article
- Barriers to mental health care and possible solutions in the young:The Australian and New Zealand journal of psychiatry · 2026Article
- Health service access for ethnically underrepresented communities: A scoping review of complex interventions.PloS one · 2026Article
- Pathways to inclusion: A scoping review exploring equity, diversity, and inclusion in mental health and addictions patient navigation programs.PLOS mental health · 2026Article
21 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this review is to document contemporary barriers to accessing healthcare faced by Indigenous people of Canada and approaches taken to mitigate these concerns. A narrative review of the literature was conducted. Barriers to healthcare access and mitigating strategies were aligned into three categories: proximal, intermediate, and distal barriers. Proximal barriers include geography, education attainment, and negative bias among healthcare professionals resulting in a lack of or inadequate immediate care in Indigenous communities. Intermediate barriers comprise of employment and income inequities and health education systems that are not accessible to Indigenous people. Distal barriers include colonialism, racism and social exclusion, resulting in limited involvement of Indigenous people in policy making and planning to address community healthcare needs. Several mitigation strategies initiated across Canada to address the inequitable health concerns include allocation of financial support for infrastructure development in Indigenous communities, increases in Indigenous education and employment, development of culturally sensitive education and medical systems and involvement of Indigenous communities and elders in the policy-making system. Indigenous people in Canada face systemic/policy barriers to equitable healthcare access. Addressing these barriers by strengthening services and building capacity within communities while integrating input from Indigenous communities is essential to improve accessibility.
Indexed as
Identifiers
What 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.