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Have investments in on-reserve health services and initiatives promoting community control improved First Nations' health in Manitoba?

Author

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  • Lavoie, Josée Gabrielle
  • Forget, Evelyn L.
  • Prakash, Tara
  • Dahl, Matt
  • Martens, Patricia
  • O'Neil, John D.

Abstract

The objective of this study was to document the relationship between First Nation's community characteristics and the rates of hospitalization for Ambulatory Care Sensitive Conditions (ACSC) in the province of Manitoba, Canada. A population-based time trend analysis of selected ACSC was conducted using the de-identified administrative data housed at the Manitoba Centre for Health Policy, including vital statistics and health information. The study population included all Manitoba residents eligible under the universal Manitoba Health Services Insurance Plan and living on First Nation reserves between 1984/85 and 2004/05. Twenty-nine ACSC defined using 3, 4 and 5 digit ICD-9-CM and ICD-10-CM codes permitted cross-sectional and longitudinal comparison of hospitalization rates. The analysis used Generalized Estimated Equation (GEE) modeling. Two variables were significant in our model: level of access to primary health care on-reserve; and level of local autonomy. Communities with local access to a broader complement of primary health care services showed a lower rate of hospitalization for ACSC. We also examined whether there was a significant trend in the rates of hospitalization for ACSC over time following the signature of an agreement increasing local autonomy over resource allocation. We found the rates of hospitalization for ACSC decreased with each year following the signature of such an agreement. This article demonstrates that communities with better local access to primary health care consistently show lower rates of ACSC. Secondly, the longer community health services have been under community control, the lower its ACSC rate.

Suggested Citation

  • Lavoie, Josée Gabrielle & Forget, Evelyn L. & Prakash, Tara & Dahl, Matt & Martens, Patricia & O'Neil, John D., 2010. "Have investments in on-reserve health services and initiatives promoting community control improved First Nations' health in Manitoba?," Social Science & Medicine, Elsevier, vol. 71(4), pages 717-724, August.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:4:p:717-724
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    1. Sheldon Greenfield & Antonio Nicolucci & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Diabetes Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 15, OECD Publishing.
    2. Richard Hermann & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Mental Health Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 17, OECD Publishing.
    3. Shah, B.R. & Gunraj, N. & Hux, J.E., 2003. "Markers of Access to and Quality of Primary Care for Aboriginal People in Ontario, Canada," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 798-802.
    4. Martin Marshall & Sheila Leatherman & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Health Promotion, Prevention and Primary Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 16, OECD Publishing.
    5. Browne, Annette J., 2007. "Clinical encounters between nurses and First Nations women in a Western Canadian hospital," Social Science & Medicine, Elsevier, vol. 64(10), pages 2165-2176, May.
    6. Laura Lambie & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Cardiac Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 14, OECD Publishing.
    7. Laing, Patricia & Pomare, Eru, 1994. "Maori health and the health care reforms," Health Policy, Elsevier, vol. 29(1-2), pages 143-156.
    8. Reading, J. & Nowgesic, E., 2002. "Improving the health of future generations: The Canadian Institutes of Health Research Institute of Aboriginal Peoples' Health," American Journal of Public Health, American Public Health Association, vol. 92(9), pages 1396-1400.
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    2. O'Gorman, Melanie, 2021. "Mental and physical health impacts of water/sanitation infrastructure in First Nations communities in Canada: An analysis of the Regional Health Survey," World Development, Elsevier, vol. 145(C).

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