Anderson Kate, Yeates Karen, Cunningham Joan, Devitt Jeannie, Cass Alan
The George Institute for International Health and the University of Sydney, PO Box M201, Missenden Road, Camperdown, NSW 2096, Australia.
Health Place. 2009 Mar;15(1):390-3. doi: 10.1016/j.healthplace.2008.03.002. Epub 2008 Mar 13.
Aboriginal Canadian patients with end-stage kidney disease receive disproportionately fewer transplants than non-Aboriginal patients. The reasons for this are poorly understood and likely to be complex. This qualitative study employed thematic analysis of in-depth interviews with Canadian kidney health professionals (n=23) from programs across Canada to explore their perspective on this disparity. Individual-level factors were the most commonly reported barriers to Aboriginal patients accessing transplants-most notable of which was patients' remote living location. Understanding the role of 'place' as a barrier to accessing care and the lived experiences of Aboriginal patients emerged as key research priorities.
患有终末期肾病的加拿大原住民患者接受移植的比例远低于非原住民患者。对此的原因了解甚少,而且可能很复杂。这项定性研究采用了对来自加拿大各地项目的23名加拿大肾脏健康专业人员进行深入访谈的主题分析,以探讨他们对这种差异的看法。个人层面的因素是原住民患者获得移植最常被报告的障碍——其中最显著的是患者居住在偏远地区。了解“地点”作为获得医疗服务障碍的作用以及原住民患者的生活经历成为关键的研究重点。