Relational continuity of oral health care in Indigenous communities: a qualitative study
| Autor: | Stefanik Simard-Lebel, Nadia Verenna Bendezu Aguirre, Yves Couturier, Felix Girard, Richa Shrivastava, Elham Emami, Jill Torrie |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Oral health Glossary Attitude of Health Personnel Health Personnel Indigenous 03 medical and health sciences 0302 clinical medicine Professional boundaries Integrated health care systems Medicine Humans 030212 general & internal medicine Indigenous Peoples General Dentistry Qualitative Research Medical education Primary Health Care business.industry 030503 health policy & services Debriefing Continuity of patient care 15. Life on land Indigenous population Focus group 3. Good health lcsh:RK1-715 lcsh:Dentistry Female Thematic analysis 0305 other medical science business Cultural competence Qualitative research Research Article |
| Zdroj: | BMC Oral Health BMC Oral Health, Vol 19, Iss 1, Pp 1-8 (2019) |
| ISSN: | 1472-6831 |
| Popis: | Background The relational continuity of care is an essential function of primary health care. This study reports on the perspectives of Cree communities and their primary health care providers regarding the barriers and enablers of relational continuity of oral health care integrated at a primary health care organization. Methods A multiple case study design within a qualitative approach and developmental evaluation methodology were used to conduct this research study in Cree communities of Northern Québec. Maximum variation sampling and snowball techniques were used to recruit the participants. Data collection consisted of individual interviews and focus group discussions. Thematic analysis was conducted which included transcription, debriefing, codification, data display, and interpretation. The consolidated criteria for reporting qualitative studies (COREQ) were used to guide the reporting of study findings. Results A total of six focus group discussions and 36 individual interviews were conducted. Five major themes emerged from the thematic analyses for barriers (two) and enablers (three). Themes for barriers included impermanence and lack of effective communication, whereas themes for enablers included culturally competent professionals, working across professional boundaries, and proactive organizational engagement. Conclusions Based on these findings, relational continuity can be empowered by effective strategies for overcoming barriers and encouraging enablers, such as recruitment of permanent professionals, organizing cultural competency training, development of a Cree language dental glossary, encouraging inter-professional collaboration, and promoting the organization’s efforts. |
| Databáze: | OpenAIRE |
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