Inclusion of Naturopaths in Northern Ontario Primary Care: A Proposed Solution for The Health Human Resources Shortage

CAND Journal Pub Date : 2022-12-15 DOI:10.54434/candj.127
Jessica Carfagnini, Alexis Harvey, Monique E Lizon, Johanne McCarthy
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Abstract

The shortage of primary healthcare practitioners, such as physicians and nurses, in northern Ontario has persisted fordecades despite multiple strategies to address it. Poor health outcomes for people living in northern Ontario must be viewed through an equity lens that takes into account the multiple proximal, intermediate, and distal social determinants of health, including, but not limited to, the impact of colonization and continued colonialism on the health of Indigenous Peoples, challenges in housing, education and employment, as well as lack of food security. The increase in chronic health conditions in northern Ontario and the need for interprofessional healthcare teams that offer patient-centred care are key issues. Whole person care that takes into consideration the integration of body, mind, and spirit is central to Indigenous concepts of health and wellness, as well as being central to the foundations of naturopathic medical philosophy. Inclusion of naturopathic doctors in publicly funded multi-disciplinary primary healthcare settings is proposed as an achievable strategy to fill gaps in health human resources and advance the movement towards holistic care for Indigenous Peoples and others living in northern Ontario.
将自然疗法纳入安大略省北部初级保健:卫生人力资源短缺的建议解决方案
安大略省北部缺乏初级保健从业人员,如医生和护士,尽管采取了多种战略来解决这一问题,但这种情况已经持续了几十年。必须从公平的角度看待安大略北部居民健康状况不佳的问题,考虑到影响健康的近端、中间和远端多种社会决定因素,包括但不限于殖民和持续的殖民主义对土著人民健康的影响,住房、教育和就业方面的挑战,以及缺乏粮食安全。安大略省北部慢性健康状况的增加以及对提供以病人为中心的护理的跨专业保健团队的需求是关键问题。考虑到身体、思想和精神的整合的全人护理是土著健康和保健概念的核心,也是自然疗法医学哲学基础的核心。建议将自然疗法医生纳入公共资助的多学科初级保健机构,作为一项可实现的战略,以填补卫生人力资源方面的空白,并推动向居住在安大略省北部的土著人民和其他人提供全面护理的运动。
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