Ensuring First Nations children's access to equitable services through Jordan's Principle: The time to act is now

Sinha, Vandna; Wong, Sam

doi:10.1093/pch/20.2.62

Cited by 9 publications

(6 citation statements)

References 3 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Currently there is a lack of evidence on how pediatric healthcare systems, organizations and professionals are addressing the serious health and healthcare inequities experienced by many First Nations children in the midst of shifting federal responses to the CHRT rulings on Jordan's Principle (Assembly of First Nations, 2018;Sinha & Wong, 2015). In the following section, we explore how the findings in this paper can inform greater dialogue on transforming pediatric healthcare in partnership with Jordan's Principle initiatives in Canada.…”

Section: Discussionmentioning

confidence: 97%

“…Healthcare professionals who are collaborating with First Nations on the implementation of Jordan's Principle may also experience uncertainty or moral distress as they question their agency and responsibility in orienting their care to be socially-inclusive and responsive. Central to this approach is the expectation that healthcare providers engage in a process of ongoing reflexivity and dialogue with First Nations community members and leaders (Canadian Pediatric Society, 2016;Sinha & Wong, 2015). This process can include questioning -'What am I/we doing to build authentic relationships?'…”

Section: Orienting Towards Socially-responsive Pediatric Healthcarementioning

confidence: 99%

“…Ultimately, orienting towards socially-responsive pediatric healthcare requires a fundamental structural change, in which First Nations lead, design, and deliver services. In this context, respectful, responsive and effective programs and services are predicated on close and equitable relationships between pediatric organizations and First Nations organizations in order to ensure that pediatricians, family physicians, and allied pediatric healthcare professionals are fully informed about and collaborating effectively on Jordan's Principle initiatives (Canadian Pediatric Society, 2016;Sinha & Wong, 2015). Central to this endeavor is the need for a greater investment in human resources to support the full implementation of Jordan's Principle.…”

Section: Orienting Towards Socially-responsive Pediatric Healthcarementioning

confidence: 99%

See 2 more Smart Citations

Insights from a Jordan’s Principle Child First Initiative in Alberta

Gerlach

Sangster

Sinha³

2020

IJIH

Self Cite

View full text Add to dashboard Cite

In 2016 Canada was ordered to implement Jordan’s Principle by the Canadian Human Rights Tribunal. In response to the order Canada created the Child First Initiative to provide federal funding for provincial and territorial organizations supporting First Nation’s children’s health, education, and social service needs, including service coordination. In the shifting national landscape of Child First Initiative funding, there is a lack of evidence on how pediatric healthcare services are addressing the serious health and healthcare inequities experienced by many First Nations children. This paper describes the implementation of a Child First Initiative by the First Nations Health Consortium in the Alberta region, and research findings that provide insights into the complexity and challenges of advancing First Nations children’s health and health equity within the current federal Child First Initiative mandate in this province. This paper highlights the need for transformative pediatric healthcare approaches that expand beyond an individual and demand-driven system and orient towards practices and policies that are socially-responsive. Also, that First Nations leaders and Jordan’s Principle initiatives play a leading role in the design and delivery of all pediatric healthcare services with First Nation communities, families and children across Canada.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Orienting Towards Socially-responsive Pediatric Healthcarementioning

confidence: 99%

Section: Orienting Towards Socially-responsive Pediatric Healthcarementioning

confidence: 99%

See 1 more Smart Citation

Insights from a Jordan’s Principle Child First Initiative in Alberta

Gerlach

Sangster

Sinha³

2020

IJIH

Self Cite

View full text Add to dashboard Cite

show abstract

“…44 Reviews by health care organizations, professional collectives, and the Auditor General of Canada have criticized the government response to inequitable service disparities that are faced by First Nations children and families. [45][46][47] In addition to adequate government funding, collaboration with Aboriginal service providers and healers is integral to increase the availability of culturally safe service provisions in these communities. [48][49][50] The current study did not examine the context in which experiences of physical and sexual abuse occurred.…”

Section: Discussionmentioning

confidence: 99%

Mental Health in the Cree Peoples of Northern Quebec: Relationships Among Trauma, Familial Psychological Distress, and Mood or Anxiety Disorders

2018

View full text Add to dashboard Cite

This study highlights the high rates of physical and mental health problems in Cree communities and the association among parental history of psychological problems, history of abuse, and psychological distress. Participants expressed a desire for additional medical and psychological treatments to address the patterns of abuse, trauma, and mental disorders that are burdening the Cree communities in Northern Quebec.

show abstract

“…The provincial and federally funded systems operate largely independently of each other. Divergences in federal and provincial priorities and perspectives on areas of responsibility have historically and continue to leave large and shifting gaps in services and unmet needs [ 32 , 33 ].…”

Section: The Contextmentioning

confidence: 99%

First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity?

Lavoie

Phillips-Beck

Kinew

et al. 2020

International Journal of Circumpolar Health

View full text Add to dashboard Cite

In this study, we focused on readmissions for Ambulatory Care Sensitive Conditions (ACSC) ending in death, to capture those admissions and readmissions that might have been prevented if responsive primary healthcare was accessible. We propose this as a sentinel indicator of equity. We conducted analyses of Manitoba-based 30-day hospital readmission rates for ACSC which resulted in death, using data from 1986-2016 adjusted for age, sex, and socio-economic status. Our findings show that, across Manitoba, overall rates of readmissions ending in death are slowly increasing, and increasing more dramatically among northern First Nations, larger First Nations not affiliated with Tribal Councils, and in the western region of the province. These regions have continuously been highlighted as disadvantaged in terms of access to care, suggesting that the time for action is overdue. Rising rates of readmissions for ACSC ending in death suggest that greater attention should be placed on access to responsive primary healthcare. These findings have broader implications for territorial healthcare systems which purchase acute care services from provinces south of them. As an indicator of quality, monitoring readmissions ending in death could provide territorial governments insights into the quality of care provided to their constituents by provincial authorities.

show abstract

Ensuring First Nations children's access to equitable services through Jordan's Principle: The time to act is now

Cited by 9 publications

References 3 publications

Insights from a Jordan’s Principle Child First Initiative in Alberta

Insights from a Jordan’s Principle Child First Initiative in Alberta

Mental Health in the Cree Peoples of Northern Quebec: Relationships Among Trauma, Familial Psychological Distress, and Mood or Anxiety Disorders

First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity?

Contact Info

Product

Resources

About