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Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review.
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.
References: Palliat Care. 2017 Jul 21;10:1178224217719441. (PMID: 28794638)
PLoS Med. 2009 Jul 21;6(7):e1000097. (PMID: 19621072)
Front Public Health. 2024 Aug 21;12:1419250. (PMID: 39234089)
Open Med. 2009;3(3):e123-30. (PMID: 21603045)
Rural Remote Health. 2003 Oct-Dec;3(3):194. (PMID: 15882095)
MMWR Morb Mortal Wkly Rep. 2018 Nov 30;67(47):1314-1318. (PMID: 30496159)
Int J Environ Res Public Health. 2022 Oct 19;19(20):. (PMID: 36294110)
Int J Integr Care. 2002;2:e12. (PMID: 16896389)
Obes Rev. 2022 Mar;23(3):e13405. (PMID: 34970828)
Contemp Nurse. 2023 Aug-Oct;59(4-5):294-310. (PMID: 37939110)
Global Health. 2018 Jan 25;14(1):12. (PMID: 29368657)
Int J Qual Health Care. 2006 Aug;18(4):294-8. (PMID: 16835433)
JBI Evid Synth. 2025 Mar 01;23(3):429-440. (PMID: 39829248)
Int J Environ Res Public Health. 2022 Mar 03;19(5):. (PMID: 35270632)
Am Indian Alsk Native Ment Health Res. 2017;24(3):88-110. (PMID: 29161456)
Early Interv Psychiatry. 2023 Jan;17(1):107-114. (PMID: 35748798)
BMJ Open. 2019 May 24;9(5):e027568. (PMID: 31129590)
Front Public Health. 2024 Feb 09;12:1324239. (PMID: 38406495)
J Adv Nurs. 2022 Sep;78(9):2693-2712. (PMID: 35578573)
BMC Med Res Methodol. 2020 Apr 10;20(1):79. (PMID: 32276606)
Ethn Health. 2015;20(5):437-52. (PMID: 24993550)
BMC Med Inform Decis Mak. 2024 Mar 8;24(1):69. (PMID: 38459531)
PLOS Glob Public Health. 2023 Oct 13;3(10):e0002474. (PMID: 37831713)
Rural Remote Health. 2017 Jul-Sep;17(3):3926. (PMID: 28877588)
Can Fam Physician. 2017 Sep;63(9):699-706. (PMID: 28904038)
Int J Integr Care. 2015 Sep 23;15:e014. (PMID: 26417209)
Intern Med J. 2003 Dec;33(12):581-5. (PMID: 14656232)
JBI Evid Implement. 2021 Jun 1;19(2):120-129. (PMID: 34061049)
Am J Community Psychol. 2024 Sep;74(1-2):5-15. (PMID: 38837774)
Aust J Prim Health. 2024 Feb;30(1):NULL. (PMID: 37667463)
BMC Health Serv Res. 2021 Jul 16;21(1):701. (PMID: 34271945)
Aust N Z J Public Health. 2016 Apr;40 Suppl 1:S53-8. (PMID: 26123691)
Int J Environ Res Public Health. 2022 Dec 26;20(1):. (PMID: 36612697)
Endocrinol Diabetes Metab. 2025 Jan;8(1):e70026. (PMID: 39803793)
Int J Environ Res Public Health. 2023 May 25;20(11):. (PMID: 37297550)
BMC Pregnancy Childbirth. 2017 Feb 21;17(1):71. (PMID: 28222689)
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
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  Data: Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review.
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  Data: 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.<br /> (© 2025. The Author(s).)
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  Data: Declarations. Ethics Approval and Consent to Participate: Not Applicable. Competing Interests: The authors declare that they have no competing interests.
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  Data: Palliat Care. 2017 Jul 21;10:1178224217719441. (PMID: <searchLink fieldCode="PM" term="%2228794638%22">28794638)</searchLink><br />PLoS Med. 2009 Jul 21;6(7):e1000097. (PMID: <searchLink fieldCode="PM" term="%2219621072%22">19621072)</searchLink><br />Front Public Health. 2024 Aug 21;12:1419250. (PMID: <searchLink fieldCode="PM" term="%2239234089%22">39234089)</searchLink><br />Open Med. 2009;3(3):e123-30. (PMID: <searchLink fieldCode="PM" term="%2221603045%22">21603045)</searchLink><br />Rural Remote Health. 2003 Oct-Dec;3(3):194. (PMID: <searchLink fieldCode="PM" term="%2215882095%22">15882095)</searchLink><br />MMWR Morb Mortal Wkly Rep. 2018 Nov 30;67(47):1314-1318. (PMID: <searchLink fieldCode="PM" term="%2230496159%22">30496159)</searchLink><br />Int J Environ Res Public Health. 2022 Oct 19;19(20):. (PMID: <searchLink fieldCode="PM" term="%2236294110%22">36294110)</searchLink><br />Int J Integr Care. 2002;2:e12. (PMID: <searchLink fieldCode="PM" term="%2216896389%22">16896389)</searchLink><br />Obes Rev. 2022 Mar;23(3):e13405. (PMID: <searchLink fieldCode="PM" term="%2234970828%22">34970828)</searchLink><br />Contemp Nurse. 2023 Aug-Oct;59(4-5):294-310. (PMID: <searchLink fieldCode="PM" term="%2237939110%22">37939110)</searchLink><br />Global Health. 2018 Jan 25;14(1):12. (PMID: <searchLink fieldCode="PM" term="%2229368657%22">29368657)</searchLink><br />Int J Qual Health Care. 2006 Aug;18(4):294-8. (PMID: <searchLink fieldCode="PM" term="%2216835433%22">16835433)</searchLink><br />JBI Evid Synth. 2025 Mar 01;23(3):429-440. (PMID: <searchLink fieldCode="PM" term="%2239829248%22">39829248)</searchLink><br />Int J Environ Res Public Health. 2022 Mar 03;19(5):. (PMID: <searchLink fieldCode="PM" term="%2235270632%22">35270632)</searchLink><br />Am Indian Alsk Native Ment Health Res. 2017;24(3):88-110. (PMID: <searchLink fieldCode="PM" term="%2229161456%22">29161456)</searchLink><br />Early Interv Psychiatry. 2023 Jan;17(1):107-114. (PMID: <searchLink fieldCode="PM" term="%2235748798%22">35748798)</searchLink><br />BMJ Open. 2019 May 24;9(5):e027568. (PMID: <searchLink fieldCode="PM" term="%2231129590%22">31129590)</searchLink><br />Front Public Health. 2024 Feb 09;12:1324239. (PMID: <searchLink fieldCode="PM" term="%2238406495%22">38406495)</searchLink><br />J Adv Nurs. 2022 Sep;78(9):2693-2712. (PMID: <searchLink fieldCode="PM" term="%2235578573%22">35578573)</searchLink><br />BMC Med Res Methodol. 2020 Apr 10;20(1):79. (PMID: <searchLink fieldCode="PM" term="%2232276606%22">32276606)</searchLink><br />Ethn Health. 2015;20(5):437-52. (PMID: <searchLink fieldCode="PM" term="%2224993550%22">24993550)</searchLink><br />BMC Med Inform Decis Mak. 2024 Mar 8;24(1):69. (PMID: <searchLink fieldCode="PM" term="%2238459531%22">38459531)</searchLink><br />PLOS Glob Public Health. 2023 Oct 13;3(10):e0002474. (PMID: <searchLink fieldCode="PM" term="%2237831713%22">37831713)</searchLink><br />Rural Remote Health. 2017 Jul-Sep;17(3):3926. (PMID: <searchLink fieldCode="PM" term="%2228877588%22">28877588)</searchLink><br />Can Fam Physician. 2017 Sep;63(9):699-706. (PMID: <searchLink fieldCode="PM" term="%2228904038%22">28904038)</searchLink><br />Int J Integr Care. 2015 Sep 23;15:e014. (PMID: <searchLink fieldCode="PM" term="%2226417209%22">26417209)</searchLink><br />Intern Med J. 2003 Dec;33(12):581-5. (PMID: <searchLink fieldCode="PM" term="%2214656232%22">14656232)</searchLink><br />JBI Evid Implement. 2021 Jun 1;19(2):120-129. (PMID: <searchLink fieldCode="PM" term="%2234061049%22">34061049)</searchLink><br />Am J Community Psychol. 2024 Sep;74(1-2):5-15. (PMID: <searchLink fieldCode="PM" term="%2238837774%22">38837774)</searchLink><br />Aust J Prim Health. 2024 Feb;30(1):NULL. (PMID: <searchLink fieldCode="PM" term="%2237667463%22">37667463)</searchLink><br />BMC Health Serv Res. 2021 Jul 16;21(1):701. (PMID: <searchLink fieldCode="PM" term="%2234271945%22">34271945)</searchLink><br />Aust N Z J Public Health. 2016 Apr;40 Suppl 1:S53-8. (PMID: <searchLink fieldCode="PM" term="%2226123691%22">26123691)</searchLink><br />Int J Environ Res Public Health. 2022 Dec 26;20(1):. (PMID: <searchLink fieldCode="PM" term="%2236612697%22">36612697)</searchLink><br />Endocrinol Diabetes Metab. 2025 Jan;8(1):e70026. (PMID: <searchLink fieldCode="PM" term="%2239803793%22">39803793)</searchLink><br />Int J Environ Res Public Health. 2023 May 25;20(11):. (PMID: <searchLink fieldCode="PM" term="%2237297550%22">37297550)</searchLink><br />BMC Pregnancy Childbirth. 2017 Feb 21;17(1):71. (PMID: <searchLink fieldCode="PM" term="%2228222689%22">28222689)</searchLink>
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