searching for ‘best’ practices in aboriginal health programming & service delivery in...
DESCRIPTION
Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta. Marcy Burka-Charles, MSc Calgary Health Region. Acknowledgement. This geographic area to be the traditional territory of the Mi’kmaq people from… Mainland Nova Scotia Cape Breton Island. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/1.jpg)
Searching for ‘Best’ Practices in Aboriginal Health Programming
& Service Delivery in Alberta
Marcy Burka-Charles, MScCalgary Health Region
![Page 2: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/2.jpg)
AcknowledgementThis geographic area to be thetraditional territory of the Mi’kmaqpeople from… Mainland Nova Scotia Cape Breton Island
![Page 3: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/3.jpg)
Overview Background Project Activities Evaluation Methodology Key Results
![Page 4: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/4.jpg)
Background Partners:
6 Regional Health Authorities (RHAs)
Steering Committee: RHA representatives Govern project activities
Provincially Funded: Aboriginal Health Strategy
Project Fund
![Page 5: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/5.jpg)
cont. Background Objectives:
Establish a base-line inventory of ‘best’ practices Assess ‘effectiveness’ of RHA funded projects
(1999 – 2005)
Significance: Future funding models Future research agenda
![Page 6: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/6.jpg)
Project Activities2. Literature Review
3. Model Consensus
1. Inventory
n = 82 (1999 - 2005)
community health initiatives
‘Best’ practice…. n = 100 periodicals & non-periodicals
No universal definition
a strategy, activity, approach, or program found to be effective through research, evaluation, &/or experience
Models reviewed were primarily euro-centric & concentric. Most published models omitted culture & spirituality as ‘best’ practice attributes
![Page 7: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/7.jpg)
Better Practice Model Three-phase model
Incorporates Indigenous & Western health ideologies
Synthesizes evidence from both research & practice
FlexibleSource: Cameron et al (2001).
![Page 8: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/8.jpg)
Evaluation Methodology1. Scope of Review
Broad Subjects: Aboriginal Albertans
2. Data Sources Literature Review Document Review Focus Group Interviews (FGIs)
3. Analysis Better Practice Criteria (3 categories) Thematic Analysis
4. Recommendations Practice Research
![Page 9: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/9.jpg)
Model ModificationsData Sources
Literature Review Document Review FGIs
• Effectiveness Criteria: assess selection bias, study design, blinding, confounders, data collection methods, non- responders, etc.
• Limitations:
• Scope of review too broad
• Solution:
• extract examples of better practices from document review
• apply criteria to future literature review
• Plausibility Criteria: assesses program/service potential vs. effectiveness
• Practicality Criteria: assesses affordability, availability, & compatibility
• Attributes applied = 16
• Limitations:
• Report gathering was challenging (18/82)
• no information on need, synergy, sustainability, etc.
• Solution:
• Draft FGI questions
• Plausibility Criteria: questions posed to fulfill information gap from document review (Q 1-4)
• Purposeful Sampling: questions posed (Q 5-6)…
1. What is a ‘best’ or ‘better’ practice?
2. What facilitates it?
3. What hinders it?
• Face Validity Check:
• Stage 1: Respondents
• Stage 2: St. Committee
![Page 10: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/10.jpg)
Key Results – Document ReviewA) Recommended & Promising Practices1. Develop cohesive partnerships2. Hire Aboriginal Health Liaisons & Case Workers3. Incorporate Indigenous language & traditions4. Evaluation
B) ‘To be tracked’ Practices1. Hiring protocols2. Placement of Aboriginal health programs in RHAs
![Page 11: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/11.jpg)
cont. Key Results - FGIsA ‘better’ practice…1. Collaboration2. Education 3. Paradigm shift 4. Research
![Page 12: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/12.jpg)
cont. Key Results - FGIsFacilitators to a ‘better’ practice…1. Formal agreements2. Theoretical approach3. Health system changes4. Champions
![Page 13: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/13.jpg)
cont. Key ResultsBarriers to a ‘better’ practice…1. Inaccurate health statistics2. Institutional culture3. Politics4. Multi-level deficits
![Page 14: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/14.jpg)
cont. Key ResultsMulti-level deficitsincluded… Lack of…
Common vision, mission, goals
Human resources Fiscal resources Time Cultural competence
& safety
![Page 15: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/15.jpg)
Additional Acknowledgements Funding Organization
Alberta Health & Wellness, Alberta Government
Steering Committee & Co-Authors Phillip Burke (Alberta Health & Wellness) Lorraine Deschambeau (Aspen Health Region) Brett Hodson (Calgary Health Region) Malcolm King (ACADRE, University of Alberta) Barb Olsen & Tracy Lee (David Thompson Health Region) Keltie Paul (Northern Lights Health Region) Karoline Phillip (Chinook Health Region) Adrienne Wiebe (Capital Health Region)
![Page 16: Searching for ‘Best’ Practices in Aboriginal Health Programming & Service Delivery in Alberta](https://reader036.vdocuments.us/reader036/viewer/2022070502/56814c7a550346895db99979/html5/thumbnails/16.jpg)
Thank You!