Nam Nguyen|Fatheema B. Subhan|Kienan Williams|Catherine B. Chan
Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review
University of Alberta|University of Alberta|Alberta Health|Alberta Health Services|University of Alberta|Alberta Health|Alberta Health Services
objective review document contemporary barriers accessing healthcare faced indigenous people canada approaches taken mitigate concerns narrative review literature conducted barriers healthcare access mitigating strategies aligned three categories proximal intermediate distal barriers proximal barriers include geography education attainment negative bias among healthcare professionals resulting lack inadequate immediate care indigenous communities intermediate barriers comprise employment income inequities health education systems accessible indigenous people distal barriers include colonialism racism social exclusion resulting limited involvement indigenous people policy making planning address community healthcare needs several mitigation strategies initiated across canada address inequitable health concerns include allocation financial support infrastructure development indigenous communities increases indigenous education employment development culturally sensitive education medical systems involvement indigenous communities elders policymaking system indigenous people canada face systemicpolicy barriers equitable healthcare access addressing barriers strengthening services building capacity within communities integrating input indigenous communities essential improve accessibility