ArticleBMC health services research2021
First Nations emergency care in Alberta: descriptive results of a retrospective cohort study.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Incidence and outcomes of critical illness in indigenous peoples: a systematic review and meta-analysis.Critical care (London, England) · 2023Pooled it
- EQUIP emergency: can interventions to reduce racism, discrimination and stigma in EDs improve outcomes?BMC health services research · 2022Trial
- Patterns of emergency care utilization among First Nations residents of Wood Buffalo, Alberta, during public health crises: An interrupted time series analysis.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Observational
- Emergency department visits among First Nations female adults in Alberta: a population-based study.CJEM · 2025Article
- Indigenous People's Use of a Primary Urgent Care Centre at a GP-Led Primary Healthcare Service in Regional Queensland in 2020-2021.International journal of environmental research and public health · 2025Article
- Truth to Action: Lived Experiences of Indigenous Healthcare Professionals Redressing Indigenous-Specific Racism.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- What it means to be an ally in Indigenous healthcare.Canadian medical education journal · 2025Article
- Interventions to improve equity in emergency departments for Indigenous people: A scoping review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 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
- Review
- Leaving emergency departments without completing treatment among First Nations and non-First Nations patients in Alberta: a mixed-methods study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Using a health equity lens to measure patient experiences of care in diverse health care settings.PloS one · 2024Article
- Article
- Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review.BMC health services research · 2023Review
- Strength in the gap: A rapid review of principles and practices for urgent care centres.Healthcare management forum · 2023Review
- Prevalence and characteristics of anti-Indigenous bias among Albertan physicians: a cross-sectional survey and framework analysis.BMJ open · 2023Article
- Anti-Indigenous bias of medical school applicants: a cross-sectional study.BMC medical education · 2022Article
- 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
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundWorse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health disparities. Emergency care is an important health services resource for First Nations people. First Nations partners, academic researchers, and health authority staff are collaborating to examine emergency care visit characteristics for First Nations and non-First Nations people in the province of Alberta.
methodsWe conducted a population-based retrospective cohort study examining all Alberta emergency care visits from April 1, 2012 to March 31, 2017 by linking administrative data. Patient demographics and emergency care visit characteristics for status First Nations persons in Alberta, and non-First Nations persons, are reported. Frequencies and percentages (%) describe patients and visits by categorical variables (e.g., Canadian Triage and Acuity Scale). Means, medians, standard deviations and interquartile ranges describe continuous variables (e.g., age).
resultsThe dataset contains 11,686,288 emergency care visits by 3,024,491 unique persons. First Nations people make up 4% of the provincial population and 9.4% of provincial emergency visits. The population rate of emergency visits is nearly 3 times higher for First Nations persons than non-First Nations persons. First Nations women utilize emergency care more than non-First Nations women (54.2% of First Nations visits are by women compared to 50.9% of non-First Nations visits). More First Nations visits end in leaving without completing treatment (6.7% v. 3.6%).
conclusionsFurther research is needed on the impact of First Nations identity on emergency care drivers and outcomes, and on emergency care for First Nations women.
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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.