Indigenous-led health care partnerships flourishing in Canada

March 02, 2020

Innovative, Indigenous-led health care partnerships and cultural healing practices have shown improved health outcomes and access to care, and have become important features of the medical landscape in Canada, according to a new analysis in CMAJ (Canadian Medical Association Journal).

Indigenous-led heath care partnerships incorporate traditional Indigenous knowledge as key in their approach to treatment and healing for Indigenous patients.

The article reflects a collaboration between Elders David Courchene and Burma Bushie, community physician Dr. Sabina Ijaz, and health researchers Dr. Andrew Hatala and Ms. Lindsay Allen from the University of Manitoba's Rady Faculty of Health Sciences.

"Addressing health inequities requires a deeper understanding of the diversity within and across First Nations, Inuit and Métis communities, as well as how different models of Indigenous-led health partnerships can respond to context-specific service needs," write the authors.

Canadian physicians often lack training in how to support the holistic cultural, emotional and spiritual dimensions of Indigenous patients' illnesses and well-being. Healers, Elders and others skilled in Indigenous cultural worldviews and experiences are therefore needed in medical partnerships, decision-making and patient care.

"A largely biomedical approach to health fails to address Indigenous patients' myriad, unique needs in an integrated, holistic manner," say Elders and coauthors David Courchene, founder of the Turtle Lodge Central House of Knowledge and cofounder and member of the Elders' council, along with Elder Burma Bushie and other community leaders, of Giigewigamig Traditional Healing Centre.

Turtle Lodge and the Giigewigamig Traditional Healing Centre have pioneered Indigenous-led approaches to health care, which are described along with examples of other health service partnerships in Canada and other countries.

"If the swell of efforts of Elders, Knowledge Keepers and healers can be supported by the larger medical community, and if barriers to full health care rights for Indigenous Peoples can be lessened or removed," the authors conclude, "then systemic racism can be overpowered and health equity can be more easily approached."
"Indigenous-led health care partnerships in Canada" is published March 2, 2020.

Canadian Medical Association Journal

Related Health Care Articles from Brightsurf:

Study evaluates new World Health Organization Labor Care Guide for maternity care providers
The World Health Organization developed the new Labor Care Guide to support clinicians in providing good quality, women-centered care during labor and childbirth.

Six ways primary care "medical homes" are lowering health care spending
New analysis of 394 U.S. primary care practices identifies the aspects of care delivery that are associated with lower health care spending and lower utilization of emergency care and hospital admissions.

Modifiable health risks linked to more than $730 billion in US health care costs
Modifiable health risks, such as obesity, high blood pressure, and smoking, were linked to over $730 billion in health care spending in the US in 2016, according to a study published in The Lancet Public Health.

Spending on primary care vs. other US health care expenditures
National health care survey data were used to assess the amount of money spent on primary care relative to other areas of health care spending in the US from 2002 to 2016.

MU Health Care neurologist publishes guidance related to COVID-19 and stroke care
A University of Missouri Health Care neurologist has published more than 40 new recommendations for evaluating and treating stroke patients based on international research examining the link between stroke and novel coronavirus (COVID-19).

Large federal program aimed at providing better health care underfunds primary care
Despite a mandate to help patients make better-informed health care decisions, a ten-year research program established under the Affordable Care Act has funded a relatively small number of studies that examine primary care, the setting where the majority of patients in the US receive treatment.

International medical graduates care for Medicare patients with greater health care needs
A study by a Massachusetts General Hospital research team indicates that internal medicine physicians who are graduates of medical schools outside the US care for Medicare patients with more complex medical needs than those cared for by graduates of American medical schools.

The Lancet Global Health: Improved access to care not sufficient to improve health, as epidemic of poor quality care revealed
Of the 8.6 million deaths from conditions treatable by health care, poor-quality care is responsible for an estimated 5 million deaths per year -- more than deaths due to insufficient access to care (3.6 million) .

Under Affordable Care Act, Americans have had more preventive care for heart health
By reducing out-of-pocket costs for preventive treatment, the Affordable Care Act appears to have encouraged more people to have health screenings related to their cardiovascular health.

High-deductible health care plans curb both cost and usage, including preventive care
A team of researchers based at IUPUI has conducted the first systematic review of studies examining the relationship between high-deductible health care plans and the use of health care services.

Read More: Health Care News and Health Care Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to