Academic Journal
Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review.
| Τίτλος: | Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review. |
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| Συγγραφείς: | Clare H; Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia., Kanmiki EW; Poche Centre for Indigenous Health, Faculty of Health, Medicine and Behavioural Science, The University of Queensland, Brisbane, QLD, Australia. e.kanmiki@uq.edu.au.; ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Indooroopilly, QLD, 4068, Australia. e.kanmiki@uq.edu.au., Bainbridge R; ARC Centre of Excellence for Indigenous Futures, Faculty of Business, Economics and Law, The University of Queensland, Brisbane, QLD, Australia., Campbell K; Metro North Hospital and Health Service, Queensland Health, Brisbane, QLD, Australia., Mangoyana C; Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia., Moriarty S; Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia., Pascua KT; Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia., Nelson C; Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia., Symes T; Metro North Hospital and Health Service, Queensland Health, Brisbane, QLD, Australia., Setchell J; Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia. |
| Πηγή: | Journal of community health [J Community Health] 2026 Feb; Vol. 51 (1), pp. 124-142. Date of Electronic Publication: 2025 Oct 16. |
| Τύπος έκδοσης: | Journal Article; Scoping Review; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE |
| Imprint Name(s): | Publication: Amsterdam : Springer Original Publication: New York, Human Sciences Press. |
| Ιατρικοί όροι (MeSH): | Health Services, Indigenous*/organization & administration , Delivery of Health Care, Integrated*/organization & administration, Humans ; Canada ; Australia ; New Zealand ; United States ; Indigenous Peoples |
| Περίληψη: | Integrated healthcare models show great promise for addressing health disparities affecting Indigenous people, which are often rooted in the enduring effects of colonisation. These models align with Indigenous holistic views of health, recognizing the importance of community, cultural knowledge, and connection to land. To understand how these models are being developed and implemented, we conducted a systematic scoping review. Guided by Indigenous methodologies and community needs, we searched four databases (Web of Science, PubMed, Scopus and ProQuest) for peer-reviewed literature on integrated healthcare for Indigenous communities in Australia, Canada, the United States, and New Zealand. Included articles were appraised using the Indigenous quality appraisal tool and analysed from a relational perspective supported by the Joanna Briggs Institute's convergent integrated method. Nineteen publications met the inclusion criteria. Most studies were from Australia (53%) and Canada (26%), and most (74%) were published in the last five years, indicating a recent surge in interest. The review identified several key factors critical to the effective implementation of these models. These included strong community leadership and ownership, culturally and contextually relevant approaches, meaningful partnerships with stakeholders, and flexible service delivery. The review further highlights the importance of having motivated and well-trained health providers, as well as adequate funding. The wide variety of methods found in the studies reflects the complexity of integrated care and the influence of distinct cultural, disciplinary and contextual factors. The findings suggest that to improve healthcare and well-being for Indigenous populations, it is crucial to strategically address these key elements. (© 2025. The Author(s).) |
| Competing Interests: | Declarations. Ethics Approval and Consent to Participate: Not Applicable. Competing Interests: The authors declare that they have no competing interests. |
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| Contributed Indexing: | Keywords: Health disparities; Holistic health; Indigenous health; Integrated healthcare; Service coordination |
| Entry Date(s): | Date Created: 20251016 Date Completed: 20260306 Latest Revision: 20260819 |
| Update Code: | 20260820 |
| PubMed Central ID: | PMC12950035 |
| DOI: | 10.1007/s10900-025-01522-1 |
| PMID: | 41102511 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1573-3610 |
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| DOI: | 10.1007/s10900-025-01522-1 |