Academic Journal
Characterizing the medical and social complexity experienced by Inuit children and their families from Nunavut who access care at an urban Canadian tertiary level paediatric hospital.
| Τίτλος: | Characterizing the medical and social complexity experienced by Inuit children and their families from Nunavut who access care at an urban Canadian tertiary level paediatric hospital. |
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| Συγγραφείς: | Ge Y; Public Health and Preventive Medicine Resident Physician, University of Ottawa, Ottawa, ON, Canada., Mills A; Undergraduate Medical Education Program, Queen's University, Kingston, ON, Canada., McCann V; Undergraduate Medical Education Program, Queen's University, Kingston, ON, Canada., Trincao-Batra S; Undergraduate Medical Education Program, University of Ottawa, Ottawa, ON, Canada., Reddy D; Biostatistician, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada., Newhook D; Research Analyst and Qualitative Methods Consultant, Clinical Research Unit, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada., Webster RJ; Scientific Director, Clinical Research Unit, CHEO Resaerch Institute, Ottawa, Canada., Sutherland S; Research and Evaluation Consultant, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada., Weber M; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Jetty R; Pediatric Medicine Children's Hospital of Eastern Ontario, Associate Professor of Pediatrics, University of Ottawa, Ottawa, ON, Canada. |
| Πηγή: | International journal of circumpolar health [Int J Circumpolar Health] 2025 Dec; Vol. 84 (1), pp. 2444122. Date of Electronic Publication: 2025 Jan 11. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9713056 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2242-3982 (Electronic) Linking ISSN: 12399736 NLM ISO Abbreviation: Int J Circumpolar Health Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2016- : Philadelphia, PA : Taylor & Francis Original Publication: Oulu, Finland : International Union for Circumpolar Health and the Nordic Society of Arctic Medicine, [1997- |
| Ιατρικοί όροι (MeSH): | Inuit*/psychology , Hospitals, Pediatric* , Tertiary Care Centers* , Health Services Accessibility*, Humans ; Child, Preschool ; Infant ; Male ; Retrospective Studies ; Female ; Child ; Ontario ; Nunavut ; Social Determinants of Health ; Comorbidity ; Adolescent |
| Περίληψη: | We aimed to characterise the medical and social complexities experienced by Inuit children and their families from Nunavut who were cared for at a general paediatrics clinic at an urban tertiary-level hospital located in Eastern Ontario. A retrospective chart review of this cohort was completed between 2016 and 2019. Two independent reviewers extracted data from charts. The cohort included 36 children, median (interquartile range [IQR]) age 13.5 (6.8, 28.2) months and full age range (1,140) months. They had a median (IQR) of 12.5 (7.8, 18.0) comorbidities, 11 (8.0, 14.2) healthcare services accessed and 3 (2, 5) medications. Almost all children (97.2%) had been hospitalised and the median number of days spent as an inpatient was 31.5. With respect to social complexity variables, 51.9% of clinical interactions (14 of 27 charts reviewed) at any point would have benefitted from an interpreter and 96.7% of 30 patient escorts/companions showed evidence of having difficulty in coping with homesickness. Improving social history taking and integrating screening for social determinants of health within the clinic should be considered. A dedicated interdisciplinary team approach focused on integrative care could be an effective method to improve communication and collaboration between service providers and with Inuit children and their families to reduce systemic health and social inequities. |
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| Contributed Indexing: | Keywords: Inuit child health; Inuit health; Social paediatrics; chart review; complex care; coordination of care; medical complexity; social complexity |
| Entry Date(s): | Date Created: 20250111 Date Completed: 20250111 Latest Revision: 20250514 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11727173 |
| DOI: | 10.1080/22423982.2024.2444122 |
| PMID: | 39797716 |
| Βάση Δεδομένων: | MEDLINE |
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