ArticleCMAJ open
A qualitative exploration of Indigenous patients' experiences of racism and perspectives on improving cultural safety within health care.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of Digital Health Interventions on Body Weight and Dietary Intake Outcomes Among Culturally and Linguistically Diverse (CALD) and Indigenous Populations: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Lung Cancer Screening Participation Among Indigenous Peoples Worldwide: A Systematic Review of Challenges and Opportunities.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Pooled it
- Experiences of healthcare access during the COVID-19 pandemic in remote Indigenous communities in Northwest Territories, Canada.International journal of circumpolar health · 2026Article
- Power, Politics, and Policy in the Making of Health Inequities: An Empirical Study of Equity-Oriented Policy Actors in Canada.International journal of social determinants of health and health services · 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
- Rural Indigenous Experiences of Healthcare Services: A Scoping Review.The Australian journal of rural health · 2026Article
- "Don't shut down, these conversations need to happen": Indigenous health professionals insights for advancing anti-racism in health care.Medical education · 2026Article
- Health care through an Indigenous lens: insights from a university hospital photovoice study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Indigenous sovereignty and the limits of the Canadian Precision Health Initiative.Nature communications · 2026Article
- Article
- Denialism: repudiation of anti-Indigenous racism in healthcare in Canada.Frontiers in public health · 2026Article
- Pharmacodynamic Safety Endpoints for Propofol Anesthesia in Children by Age and Sex: A Multicohort Observational Study.Paediatric anaesthesia · 2025Observational
- Acceptability of patient-centered digital vaccine safety monitoring: A Canadian Immunization Research Network study.Human vaccines & immunotherapeutics · 2025Article
- Inflammatory Bowel Disease in Indigenous Populations: A Scoping Review.Crohn's & colitis 360 · 2025Article
- A qualitative study of challenges and facilitators to implementing an Indigenous-led cultural safety education program within a large urban emergency department in Vancouver, Canada.BMC medical education · 2025Article
- Supporting Indigenous Family Caregivers of Children with Life-Threatening and Life-Limiting Illness in One Canadian Province: Healthcare Providers' Perspectives.Children (Basel, Switzerland) · 2025Article
- Ear Problems Are Associated With Traumatic Dental Injuries Among Australian-Indigenous-Children.Dental traumatology : official publication of International Association for Dental Traumatology · 2025Article
- Exploring medical students' experiences with indigenous patient care: a phenomenological study.Medical education online · 2024Article
- 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
- Creation of the Indigenous Support Line for health system navigation and culturally safe access to care: a quality improvement project.BMJ open quality · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Canada, Indigenous Peoples continue to experience persistent health inequities, resulting in disproportionately poorer health outcomes compared with non-Indigenous Canadians. This study engaged Indigenous patients accessing health care in Vancouver, Canada, about their experiences of racism and improving cultural safety within health care.
methodsA research team consisting of Indigenous and non-Indigenous researchers committed to employing a Two-Eyed Seeing approach and conducting culturally safe research hosted 2 sharing circles in May 2019 with Indigenous people recruited from urban health care settings. Talking circles were led by Indigenous Elders, and thematic analysis was used to identify overarching themes.
resultsA total of 26 participants attended 2 sharing circles, which included 25 self-identifying women and 1 self-identifying man. Thematic analysis resulted in the identification of 2 major themes: negative experiences in health care and perspectives on promising health care practices. For the first major theme, subthemes included the following: experiences of racism lead to poorer care experiences and health outcomes, Indigenous-specific racism results in mistrust in the health care system, and participants experience discrediting of traditional medicine and Indigenous perspectives on health. For the second major theme, subthemes included the following: Indigenous-specific services and supports improve trust in health care, Indigenous cultural safety education is necessary for all health care-involved staff, and providing welcoming, Indigenized spaces for Indigenous patients encourages health care engagement.
interpretationDespite participants' racist health care experiences, receiving culturally safe care was credited with improving trust in the health care system and well-being. The continued expansion of Indigenous cultural safety education, the creation of welcoming spaces, recruitment of Indigenous staff, and Indigenous self-determination over health care services can improve Indigenous patients' health care experiences.
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