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INNOVATION SUPPORTING TRANSFORMATION IN COMMUNITY-BASED PRIMARY HEALTHCARE RESEARCH PROJECT

INNOVATION SUPPORTING TRANSFORMATION IN COMMUNITY-BASED PRIMARY HEALTHCARE RESEARCH PROJECT (IPHIT)

The iPHIT program of research just recently came to an end in 2018 however staff will continue to write, publish and share the results at conferences for the next 2 years. The five-year project lead by Dr. Alan Katz with the University of Manitoba, in collaboration with the First Nations Health and Social Secretariat and 8 First Nations in Manitoba aimed to:

  • Work with First Nation communities that have developed different primary health care delivery models;

  • Describe these models of care;

  • Identify key ingredients for success from the perspective if First Nations and rural and remote communities

  • Further develop healthcare models to improve the scope and delivery of community-based primary healthcare services; AND

  • Support the implementation of these models in other communities to bring about better health outcomes.

LOOKING BACK, MOVING FORWARD

Looking Back Moving Forward iPHIT.png

  • PHC system must move from biomedical model to holistic model to have an impact.

  • Access to PHC is an important factor, but improving health goes beyond the health system.

  • System must prioritise, incorporate & accomidate traditional healers, ceremonies, and practices.

  • Building on exisiting strengths (beyond education), values (self-dignity), commitment to make change happen.

  • Rebuilding family and community; fostering revitalization or colure and language key to wellbeing.

  • Health system needs to acknowledge and emphasize what the community regards as important.

The 5 year research project had four independent research projects:

​Study 1A: “Community-based Participatory Research” began in October 2013 with the signing of the Research Agreements with our participating communities and hiring of the Local Research Assistants (LRA’s). The LRA’s completed their data collection and research training in October 2013. The Local Research Assistants began actively interviewing in May 2014. The information collected through the interviews and focus groups is very valuable in understanding and describing primary health care in the communities today, and in the future. It will also be important for understanding the realities of living and working in First Nation and Rural and Remote Communities.

Study 1B: “Mapping Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in First Nation and Rural & Remote Communities”. This is a study that uses administrative data collected by Manitoba Health to explore and compare hospitalizations for Ambulatory Care Sensitive Conditions by community (First Nation, Rural, Remote and all Manitoba) and map out trends over time. This information will be important to compare different models of healthcare delivery and population level outcomes over time.

Study 1C Cross Sectional Surveys describing Models of Primary Healthcare began in May 2015. This project will help us understand the state of Community-based Primary Health Services over a broad range of communities from the perspective of community members, health care providers and health managers/organizations.

Study 1D: Case Studies: Communities that are demonstrating improved health outcomes will be examined in more in-depth, so that other communities may benefit from their innovations and experiences.

Last Updated: 2024-01-17

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