Grant: Team Grant: Community-Based Primary Healthcare - IAPH

It is well known that the health outcomes of First Nations are considerably worse than other Canadians. This is due to many factors, some of which have been studied extensively. The role of Community Based Primary Healthcare (CBPHC) in determining the health of First Nations and other rural/remote communities is not well understood. This program of research uses both qualitative and quantitative methods to understand the current state of CBPHC in First Nations and rural and remote Manitoba. We will engage community members to understand their perspective on their health and needs. We will compare communities with different governance models of CBPHC (federal, provincial and self-governance models) and we will compare communities with better health outcomes to those with worse outcomes. We will then work with the participating communities and our advisory groups of elders and experts to propose innovative local models of care that can improve the health of the communities. The final stage will include an evaluation of the implementation of some of these new models of care. A key component of this team is the collaboration and full integration of the First Nations communities and partnership with the Assembly of Manitoba Chiefs and our commitment to helping train a new generation of First Nations primary care researchers.