Access to Primary Care From the Perspective of Aboriginal Patients at an Urban Emergency Department

Annette J. Browne · Victoria L Smye · Patricia Rodney · S. Tang · Bill Mussell · John O’Neil

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Indigenous Health, Education, and Rights Emergency and Acute Care Studies Primary Care and Health Outcomes

Abstract

In this article, we discuss findings from an ethnographic study in which we explored experiences of access to primary care services from the perspective of Aboriginal people seeking care at an emergency department (ED) located in a large Canadian city. Data were collected over 20 months of immersion in the ED, and included participant observation and in-depth interviews with 44 patients triaged as stable and nonurgent, most of whom were living in poverty and residing in the inner city. Three themes in the findings are discussed: (a) anticipating providers' assumptions; (b) seeking help for chronic pain; and (c) use of the ED as a reflection of social suffering. Implications of these findings are discussed in relation to the role of the ED as well as the broader primary care sector in responding to the needs of patients affected by poverty, racialization, and other forms of disadvantage.

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References

2003Unequal treatment: confronting racial and ethnic disparities in health care 2003Health Care Disparities 2008Discrimination and racial disparities in health: evidence and needed research 2002Postcolonialism: an historical introduction 2007Reclaiming Indigenous Voice and Vision 2003Postcolonialism: An Historical Introduction 1998The Inclusive Society?: Social Exclusion and New Labour 2005The Embodiment of Inequity: Health Disparities in Aboriginal Canada

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2012Women’s health, men’s health, and gender and health: Implications of intersectionality 2011Health inequities in Canada : intersectional frameworks and practices 2018Understanding access to healthcare among Indigenous peoples: A comparative analysis of biomedical and postcolonial perspectives 2015Toward Cultural Safety 2019Unmet health needs and discrimination by healthcare providers among an Indigenous population in Toronto, Canada 2014Understanding Inequalities in Access to Health Care Services for Aboriginal People

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