Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality
Background Among Indigenous peoples in Canada, access to high-quality healthcare remains an important determinant of health. The shift to virtual and remote-based approaches, expedited during the COVID-19 pandemic, influenced the ways in which individuals accessed care and the quality of care receiv...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-12-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/11/4/e002028.full |
| _version_ | 1811197654225387520 |
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| author | Cheryl Barnabe Ellen Toth Rita Henderson Pamela Roach Meagan Ody Paige Campbell Cara Bablitz Adam Murry Andrea Kennedy Stephanie Montesanti Lynden Crowshoe |
| author_facet | Cheryl Barnabe Ellen Toth Rita Henderson Pamela Roach Meagan Ody Paige Campbell Cara Bablitz Adam Murry Andrea Kennedy Stephanie Montesanti Lynden Crowshoe |
| author_sort | Cheryl Barnabe |
| collection | DOAJ |
| description | Background Among Indigenous peoples in Canada, access to high-quality healthcare remains an important determinant of health. The shift to virtual and remote-based approaches, expedited during the COVID-19 pandemic, influenced the ways in which individuals accessed care and the quality of care received. This study sought to determine which elements are required for effective and sustainable virtual care approaches for delivery of primary care to Indigenous patients and develop quality indicators grounded in Indigenous community and experience. We share a conceptual framework to understand how Indigenous patients access and define high-quality virtual care, grounded in Indigenous patient experiences and worldviews.Methods Using principles of patient-oriented research, we grounded this work in social justice and participatory action research. We sought to gain an in-depth understanding of the Indigenous experiences of virtual care and specifically of primary care. This was developed through semistructured interviews with Indigenous patients and Indigenous virtual primary care providers.Results Thirteen participants were interviewed between 5 August 2021 and 25 October 2021. Using Framework Analysis, we constructed four domains including access, relationships, quality and safety as being primary facets of defining high-quality Indigenous virtual primary care.Discussion The results presented here indicate that the shift to virtual care, largely seen in response to the COVID-19 pandemic, does not compromise quality of care, nor does it lead to negative patient experiences. Optimal care is possible in virtual settings for some care needs and types of appointments and has the potential to decrease barriers to access and improve patient experiences of safety and quality while facilitating patient/provider relationships.Conclusion In summary, high-quality Indigenous virtual care benefits from attention to patients’ experiences of access, relationships, safety and quality with their service providers and healthcare teams. |
| first_indexed | 2024-04-12T01:18:31Z |
| format | Article |
| id | doaj.art-2d3502f40dff41f3867967ccfc4ac6be |
| institution | Directory Open Access Journal |
| issn | 2399-6641 |
| language | English |
| last_indexed | 2024-04-12T01:18:31Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj.art-2d3502f40dff41f3867967ccfc4ac6be2022-12-22T03:53:53ZengBMJ Publishing GroupBMJ Open Quality2399-66412022-12-0111410.1136/bmjoq-2022-002028Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care qualityCheryl Barnabe0Ellen Toth1Rita Henderson2Pamela Roach3Meagan Ody4Paige Campbell5Cara Bablitz6Adam Murry7Andrea Kennedy8Stephanie Montesanti9Lynden Crowshoe101 Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, CanadaFamily Medicine, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada9 Department of Family Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, CanadaDepartments of Family Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta, CanadaFamily Medicine, University of Calgary, Calgary, Alberta, CanadaFamily Medicine, University of Calgary, Calgary, Alberta, CanadaFamily Medicine, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, CanadaPsychology, University of Calgary, Calgary, Alberta, CanadaFaculty of Health, Community and Education, Mount Royal University, Calgary, Alberta, CanadaSchool of Public Health, University of Alberta, Edmonton, Alberta, CanadaFamily Medicine, University of Calgary, Calgary, Alberta, CanadaBackground Among Indigenous peoples in Canada, access to high-quality healthcare remains an important determinant of health. The shift to virtual and remote-based approaches, expedited during the COVID-19 pandemic, influenced the ways in which individuals accessed care and the quality of care received. This study sought to determine which elements are required for effective and sustainable virtual care approaches for delivery of primary care to Indigenous patients and develop quality indicators grounded in Indigenous community and experience. We share a conceptual framework to understand how Indigenous patients access and define high-quality virtual care, grounded in Indigenous patient experiences and worldviews.Methods Using principles of patient-oriented research, we grounded this work in social justice and participatory action research. We sought to gain an in-depth understanding of the Indigenous experiences of virtual care and specifically of primary care. This was developed through semistructured interviews with Indigenous patients and Indigenous virtual primary care providers.Results Thirteen participants were interviewed between 5 August 2021 and 25 October 2021. Using Framework Analysis, we constructed four domains including access, relationships, quality and safety as being primary facets of defining high-quality Indigenous virtual primary care.Discussion The results presented here indicate that the shift to virtual care, largely seen in response to the COVID-19 pandemic, does not compromise quality of care, nor does it lead to negative patient experiences. Optimal care is possible in virtual settings for some care needs and types of appointments and has the potential to decrease barriers to access and improve patient experiences of safety and quality while facilitating patient/provider relationships.Conclusion In summary, high-quality Indigenous virtual care benefits from attention to patients’ experiences of access, relationships, safety and quality with their service providers and healthcare teams.https://bmjopenquality.bmj.com/content/11/4/e002028.full |
| spellingShingle | Cheryl Barnabe Ellen Toth Rita Henderson Pamela Roach Meagan Ody Paige Campbell Cara Bablitz Adam Murry Andrea Kennedy Stephanie Montesanti Lynden Crowshoe Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality BMJ Open Quality |
| title | Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality |
| title_full | Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality |
| title_fullStr | Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality |
| title_full_unstemmed | Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality |
| title_short | Access, relationships, quality and safety (ARQS): a qualitative study to develop an Indigenous-centred understanding of virtual care quality |
| title_sort | access relationships quality and safety arqs a qualitative study to develop an indigenous centred understanding of virtual care quality |
| url | https://bmjopenquality.bmj.com/content/11/4/e002028.full |
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