Julanta J Carriere, Nia A Davies, Margaret R Cunningham, Melisa J Wallace, Aidan Seeley
Co-created in vivo pharmacology practical classes using the novel organism Lumbriculus variegatus
Pharmacology research & perspectives
women disproportionately impacted osteoarthritis oa less likely men access oa care particularly racialized women one way reduce inequities policies influence healthcare services examined oarelevant policies canada address equitable personcentred oa care women used content analysis extract data englishlanguage oarelevant documents referred policies synonymous terms published 2000 later identified searching governmental web sites used summary statistics describe policy characteristics personcentred care using mccormacks sixdomain framework mention oa prevalence barriers strategies improve equitable access oa care among women included 14 policies developed 2004 2021 none comprehensively addressed personcentred care domains addressed individual domains enable selfmanagement 50 share decisions 43 exchange information 29 respond emotions 14 foster healing relationship 0 manage uncertainty 0 even mentioned content offered little guidance achieve personcentred oa care policies acknowledged greater prevalence oa among women 36 older 29 indigenous persons 29 lower socioeconomic status 14 barriers oa care among lower socioeconomic status 50 rural areas 43 older age 37 ethnocultural groups 21 women 21 four 29 policies recommended strategies improving access oa care patient selfmanagement education material different languages tailored cultural norms clinician healthcare professional education system level evaluate oa service equity engage lay health leaders delivering selfmanagement programs offer selfmanagement programs variety formats five 36 policies recommended research improve oa care equityseeking groups canadian oarelevant policies lack guidance overcome disparities access personcentred oa care equityseeking groups including women study identified several ways strengthen policies ongoing research must identify needs preferences equityseeking persons oa evaluate impact various models service delivery knowledge needed influence oarelevant policy