Kyoon-Achan Grace, Lavoie Josée, Kinew Kathi Avery, Ibrahim Naser, Sinclair Stephanie, Katz Alan
Research Fellow, Departments of Community Health Sciences and Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, Ongomiizwiin Research - Institute of Indigenous Health and Healing, Winnipeg, MB.
Director, Manitoba First Nations Centre for Aboriginal Health Research, Professor, Department of Community Health Science Rady Faculty of Health Sciences, Winnipeg, MB, Wanda Phillips-Beck, RN, BN, MSC, NANAANDAWEWIGAMIG, Nurse Manager, First Nations Health and Social Secretariat of Manitoba, Winnipeg, MB.
Healthc Policy. 2019 Nov;15(2):85-99. doi: 10.12927/hcpol.2019.26069.
First Nations (FN) have unique perspectives and experiences of health and healthcare services, which are critical to the provision of effective community-based primary healthcare (CBPHC).
This paper shares FN perspectives on primary healthcare (PHC), taking geographical, cultural and historical realities into account, to elucidate opportunities to improve current healthcare services.
Semi-structured in-depth qualitative interviews were completed with 183 residents of 8 Manitoba FN communities. Grounded theory-guided data analysis was conducted.
Improving PHC performance requires delivering timely and holistic healthcare that integrates traditional health knowledge, comprehensive CBPHC increasing services such as healthcare and medical transportation, healthy food as an important preventative measure and a culturally informed workforce backed by local leadership and promoting cultural respect.
The relationship between self-determination and health is a critical factor in the implementation of CBPHC. FN must be respected to decide healthcare priorities that reflect the needs and visions of each community.
原住民（FN）对健康和医疗服务有着独特的观点和经历，这对提供有效的基于社区的初级医疗保健（CBPHC）至关重要。
本文考虑地理、文化和历史现实，分享原住民对初级医疗保健（PHC）的观点，以阐明改善当前医疗服务的机会。
对曼尼托巴省8个原住民社区的183名居民进行了半结构化深度定性访谈。进行了扎根理论指导的数据分析。
提高初级医疗保健绩效需要提供及时且全面的医疗保健服务，将传统健康知识整合进来，全面的社区初级医疗保健增加诸如医疗保健和医疗运输等服务，将健康食品作为重要的预防措施，以及一支由当地领导支持并促进文化尊重的具有文化素养的劳动力队伍。
自决与健康之间的关系是实施社区初级医疗保健的关键因素。必须尊重原住民来决定反映每个社区需求和愿景的医疗保健优先事项。
