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Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach

Given that the health care system for Indigenous people tends to be complex, fragmented, and multi-jurisdictional, their cancer experiences may be especially difficult. This needs assessment study examined system-level barriers and community strengths regarding cancer care experiences of Indigenous...

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Autores principales: Witham, Stephanie, Carr, Tracey, Badea, Andreea, Ryan, Meaghan, Stringer, Lorena, Barreno, Leonzo, Groot, Gary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775083/
https://www.ncbi.nlm.nih.gov/pubmed/35049686
http://dx.doi.org/10.3390/curroncol29010012
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author Witham, Stephanie
Carr, Tracey
Badea, Andreea
Ryan, Meaghan
Stringer, Lorena
Barreno, Leonzo
Groot, Gary
author_facet Witham, Stephanie
Carr, Tracey
Badea, Andreea
Ryan, Meaghan
Stringer, Lorena
Barreno, Leonzo
Groot, Gary
author_sort Witham, Stephanie
collection PubMed
description Given that the health care system for Indigenous people tends to be complex, fragmented, and multi-jurisdictional, their cancer experiences may be especially difficult. This needs assessment study examined system-level barriers and community strengths regarding cancer care experiences of Indigenous people in Saskatchewan. Guided by an advisory committee including Indigenous patient and family partners, we conducted key informant interviews with senior Saskatchewan health care administrators and Indigenous leaders to identify supports and barriers. A sharing circle with patients, survivors, and family members was used to gather cancer journey experiences from Indigenous communities from northern Saskatchewan. Analyses were presented to the committee for recommendations. Key informants identified cancer support barriers including access to care, coordination of care, a lack of culturally relevant health care provision, and education. Sharing circle participants discussed strengths and protective factors such as kinship, connection to culture, and spirituality. Indigenous patient navigation, inter-organization collaboration, and community relationship building were recommended to ameliorate barriers and bolster strengths. Recognizing barriers to access, coordination, culturally relevant health care provision, and education can further champion community strengths and protective factors and frame effective cancer care strategies and equitable cancer care for Indigenous people in Saskatchewan.
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spelling pubmed-87750832022-01-21 Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach Witham, Stephanie Carr, Tracey Badea, Andreea Ryan, Meaghan Stringer, Lorena Barreno, Leonzo Groot, Gary Curr Oncol Article Given that the health care system for Indigenous people tends to be complex, fragmented, and multi-jurisdictional, their cancer experiences may be especially difficult. This needs assessment study examined system-level barriers and community strengths regarding cancer care experiences of Indigenous people in Saskatchewan. Guided by an advisory committee including Indigenous patient and family partners, we conducted key informant interviews with senior Saskatchewan health care administrators and Indigenous leaders to identify supports and barriers. A sharing circle with patients, survivors, and family members was used to gather cancer journey experiences from Indigenous communities from northern Saskatchewan. Analyses were presented to the committee for recommendations. Key informants identified cancer support barriers including access to care, coordination of care, a lack of culturally relevant health care provision, and education. Sharing circle participants discussed strengths and protective factors such as kinship, connection to culture, and spirituality. Indigenous patient navigation, inter-organization collaboration, and community relationship building were recommended to ameliorate barriers and bolster strengths. Recognizing barriers to access, coordination, culturally relevant health care provision, and education can further champion community strengths and protective factors and frame effective cancer care strategies and equitable cancer care for Indigenous people in Saskatchewan. MDPI 2021-12-28 /pmc/articles/PMC8775083/ /pubmed/35049686 http://dx.doi.org/10.3390/curroncol29010012 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Witham, Stephanie
Carr, Tracey
Badea, Andreea
Ryan, Meaghan
Stringer, Lorena
Barreno, Leonzo
Groot, Gary
Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach
title Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach
title_full Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach
title_fullStr Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach
title_full_unstemmed Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach
title_short Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach
title_sort sâkipakâwin: assessing indigenous cancer supports in saskatchewan using a strength-based approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775083/
https://www.ncbi.nlm.nih.gov/pubmed/35049686
http://dx.doi.org/10.3390/curroncol29010012
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