Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles

The factors that influence patient healthcare experiences are complex and connected to place. In northern Canada, the socio-historical context and the inequitable distribution of health services are unique influences on patients. The objective of this study was to examine the characteristics of pati...

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Main Authors: Rhiannon Cooper, Nathaniel J. Pollock, Zander Affleck, Laura Bain, Nanna Lund Hansen, Kelsey Robertson, Susan Chatwood
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:http://dx.doi.org/10.1080/22423982.2021.1886798
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author Rhiannon Cooper
Nathaniel J. Pollock
Zander Affleck
Laura Bain
Nanna Lund Hansen
Kelsey Robertson
Susan Chatwood
author_facet Rhiannon Cooper
Nathaniel J. Pollock
Zander Affleck
Laura Bain
Nanna Lund Hansen
Kelsey Robertson
Susan Chatwood
author_sort Rhiannon Cooper
collection DOAJ
description The factors that influence patient healthcare experiences are complex and connected to place. In northern Canada, the socio-historical context and the inequitable distribution of health services are unique influences on patients. The objective of this study was to examine the characteristics of patient healthcare experiences as reported through news media in the Northwest Territories. We used a case series design to examine patient healthcare experiences reported in news media articles. We conducted a systematic search for articles published between 2008 and 2017 in the online database of a media outlet in the Northwest Territories. We used descriptive statistics to summarise the article characteristics and thematic analysis to understand patient experiences in 128 articles related to 71 cases. Most often, cases involved women, concerned mental health, suicidality, or chronic diseases, and were predominantly negative. Patient experiences included problems associated with medical travel, communication difficulties with providers, lack of cultural safety, and barriers in accessing care resulting in poor-quality care, particularly for Indigenous patients. Broadly, these experiences are rooted in the colonial history in the North. Understanding patient experiences and including Indigenous patients in health system decision-making can help focus policies and clinical care on cultural safety and equity.
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spelling doaj.art-a6d92cb1f2504a16917915185dc3f5742022-12-22T04:04:19ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822021-01-0180110.1080/22423982.2021.18867981886798Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articlesRhiannon Cooper0Nathaniel J. Pollock1Zander Affleck2Laura Bain3Nanna Lund Hansen4Kelsey Robertson5Susan Chatwood6McMaster UniversityUniversity of Alberta, School of Public HealthInstitute for Circumpolar Health ResearchInstitute for Circumpolar Health ResearchUniversity of Southern DenmarkInstitute for Circumpolar Health ResearchUniversity of Alberta, School of Public HealthThe factors that influence patient healthcare experiences are complex and connected to place. In northern Canada, the socio-historical context and the inequitable distribution of health services are unique influences on patients. The objective of this study was to examine the characteristics of patient healthcare experiences as reported through news media in the Northwest Territories. We used a case series design to examine patient healthcare experiences reported in news media articles. We conducted a systematic search for articles published between 2008 and 2017 in the online database of a media outlet in the Northwest Territories. We used descriptive statistics to summarise the article characteristics and thematic analysis to understand patient experiences in 128 articles related to 71 cases. Most often, cases involved women, concerned mental health, suicidality, or chronic diseases, and were predominantly negative. Patient experiences included problems associated with medical travel, communication difficulties with providers, lack of cultural safety, and barriers in accessing care resulting in poor-quality care, particularly for Indigenous patients. Broadly, these experiences are rooted in the colonial history in the North. Understanding patient experiences and including Indigenous patients in health system decision-making can help focus policies and clinical care on cultural safety and equity.http://dx.doi.org/10.1080/22423982.2021.1886798patient-centred carehealth systemshealth equitycultural safetyindigenous
spellingShingle Rhiannon Cooper
Nathaniel J. Pollock
Zander Affleck
Laura Bain
Nanna Lund Hansen
Kelsey Robertson
Susan Chatwood
Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles
International Journal of Circumpolar Health
patient-centred care
health systems
health equity
cultural safety
indigenous
title Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles
title_full Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles
title_fullStr Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles
title_full_unstemmed Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles
title_short Patient healthcare experiences in the Northwest Territories, Canada: an analysis of news media articles
title_sort patient healthcare experiences in the northwest territories canada an analysis of news media articles
topic patient-centred care
health systems
health equity
cultural safety
indigenous
url http://dx.doi.org/10.1080/22423982.2021.1886798
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