Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review
Abstract Background Virtual care has become an increasingly useful tool for the virtual delivery of care across the globe. With the unexpected emergence of COVID-19 and ongoing public health restrictions, it has become evident that the delivery of high-quality telemedicine is critical to ensuring th...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09299-6 |
| _version_ | 1797853902919434240 |
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| author | Kayla M. Fitzpatrick Meagan Ody Danika Goveas Stephanie Montesanti Paige Campbell Kathryn MacDonald Lynden Crowshoe Sandra Campbell Pamela Roach |
| author_facet | Kayla M. Fitzpatrick Meagan Ody Danika Goveas Stephanie Montesanti Paige Campbell Kathryn MacDonald Lynden Crowshoe Sandra Campbell Pamela Roach |
| author_sort | Kayla M. Fitzpatrick |
| collection | DOAJ |
| description | Abstract Background Virtual care has become an increasingly useful tool for the virtual delivery of care across the globe. With the unexpected emergence of COVID-19 and ongoing public health restrictions, it has become evident that the delivery of high-quality telemedicine is critical to ensuring the health and wellbeing of Indigenous peoples, especially those living in rural and remote communities. Methods We conducted a rapid evidence review from August to December 2021 to understand how high quality Indigenous primary healthcare is defined in virtual modalities. After completing data extraction and quality appraisal, a total of 20 articles were selected for inclusion. The following question was used to guide the rapid review: How is high quality Indigenous primary healthcare defined in virtual modalities? Results We discuss key limitations to the delivery of virtual care, including the increasing cost of technology, lack of accessibility, challenges with digital literacy, and language barriers. This review further yielded four main themes that highlight Indigenous virtual primary healthcare quality: (1) limitations and barriers of virtual primary healthcare, (2) Indigenous-centred virtual primary healthcare, (3) virtual Indigenous relationality, (4) collaborative approaches to ensuring holistic virtual care. Discussion: For virtual care to be Indigenous-centred, Indigenous leadership and users need to be partners in the development, implementation and evaluation of the intervention, service or program. In terms of virtual models of care, time must be allocated to educate Indigenous partners on digital literacy, virtual care infrastructure, benefits and limitations. Relationality and culture must be prioritized as well as digital health equity. Conclusion These findings highlight important considerations for strengthening virtual primary healthcare approaches to meet the needs of Indigenous peoples worldwide. |
| first_indexed | 2024-04-09T19:58:17Z |
| format | Article |
| id | doaj.art-1bc39a822ac0499b9d853660deec02fd |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T19:58:17Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-1bc39a822ac0499b9d853660deec02fd2023-04-03T05:21:25ZengBMCBMC Health Services Research1472-69632023-03-0123111310.1186/s12913-023-09299-6Understanding virtual primary healthcare with Indigenous populations: a rapid evidence reviewKayla M. Fitzpatrick0Meagan Ody1Danika Goveas2Stephanie Montesanti3Paige Campbell4Kathryn MacDonald5Lynden Crowshoe6Sandra Campbell7Pamela Roach8School of Public Health, University of AlbertaDepartment of Community Health Sciences, University of CalgarySchool of Public Health, University of AlbertaSchool of Public Health, University of AlbertaDepartment of Community Health Sciences, University of CalgarySchool of Public Health, University of AlbertaDepartment of Family Medicine, University of CalgaryJohn W. Scott Health Sciences Library, University of AlbertaDepartment of Family Medicine, University of CalgaryAbstract Background Virtual care has become an increasingly useful tool for the virtual delivery of care across the globe. With the unexpected emergence of COVID-19 and ongoing public health restrictions, it has become evident that the delivery of high-quality telemedicine is critical to ensuring the health and wellbeing of Indigenous peoples, especially those living in rural and remote communities. Methods We conducted a rapid evidence review from August to December 2021 to understand how high quality Indigenous primary healthcare is defined in virtual modalities. After completing data extraction and quality appraisal, a total of 20 articles were selected for inclusion. The following question was used to guide the rapid review: How is high quality Indigenous primary healthcare defined in virtual modalities? Results We discuss key limitations to the delivery of virtual care, including the increasing cost of technology, lack of accessibility, challenges with digital literacy, and language barriers. This review further yielded four main themes that highlight Indigenous virtual primary healthcare quality: (1) limitations and barriers of virtual primary healthcare, (2) Indigenous-centred virtual primary healthcare, (3) virtual Indigenous relationality, (4) collaborative approaches to ensuring holistic virtual care. Discussion: For virtual care to be Indigenous-centred, Indigenous leadership and users need to be partners in the development, implementation and evaluation of the intervention, service or program. In terms of virtual models of care, time must be allocated to educate Indigenous partners on digital literacy, virtual care infrastructure, benefits and limitations. Relationality and culture must be prioritized as well as digital health equity. Conclusion These findings highlight important considerations for strengthening virtual primary healthcare approaches to meet the needs of Indigenous peoples worldwide.https://doi.org/10.1186/s12913-023-09299-6Indigenous primary healthcareVirtual careTelehealthPrimary healthcare qualityIndigenous health |
| spellingShingle | Kayla M. Fitzpatrick Meagan Ody Danika Goveas Stephanie Montesanti Paige Campbell Kathryn MacDonald Lynden Crowshoe Sandra Campbell Pamela Roach Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review BMC Health Services Research Indigenous primary healthcare Virtual care Telehealth Primary healthcare quality Indigenous health |
| title | Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review |
| title_full | Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review |
| title_fullStr | Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review |
| title_full_unstemmed | Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review |
| title_short | Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review |
| title_sort | understanding virtual primary healthcare with indigenous populations a rapid evidence review |
| topic | Indigenous primary healthcare Virtual care Telehealth Primary healthcare quality Indigenous health |
| url | https://doi.org/10.1186/s12913-023-09299-6 |
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