International Journal of Circumpolar Health最新文献_第10页

Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study. 瑞典Sámi人群中COVID-19大流行期间避免医疗保健的患病率及相关因素:SámiHET研究

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 DOI: 10.1080/22423982.2023.2213909

Menayit Tamrat Dresse, Jon Petter Stoor, Miguel San Sebastian, Lena Maria Nilsson

{"title":"Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study.","authors":"Menayit Tamrat Dresse, Jon Petter Stoor, Miguel San Sebastian, Lena Maria Nilsson","doi":"10.1080/22423982.2023.2213909","DOIUrl":"10.1080/22423982.2023.2213909","url":null,"abstract":"The aim of this population-based cross-sectional study was to assess the prevalence of healthcare avoidance during the COVID-19 pandemic and its associated factors among the Sámi population in Sweden. Data from the \"Sámi Health on Equal Terms\" (SámiHET) survey conducted in 2021 were used. Overall, 3,658 individuals constituted the analytical sample. Analysis was framed using the social determinants of health framework. The association between healthcare avoidance and several sociodemographic, material, and cultural factors was explored through log-binomial regression analyses. Sampling weights were applied in all analyses. Thirty percent of the Sámi in Sweden avoided healthcare during the COVID-19 pandemic. Sámi women (PR: 1.52, 95% CI: 1.36-1.70), young adults (PR: 1.22, 95% CI:1.05-1.47), Sámi living outside Sápmi (PR: 1.17, 95% CI: 1.03-1.34), and those having low income (PR: 1.42, 95% CI:1.19-1.68) and experiencing economic stress (PR: 1.48, 95% CI: 1.31-1.67) had a higher prevalence of healthcare avoidance. The pattern shown in this study can be useful for planning future pandemic responses, which should address healthcare avoidance, particularly among the identified vulnerable groups, including the active participation of the Sámi themselves.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/7f/ZICH_82_2213909.PMC10208175.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9514105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public health restrictions, directives, and measures in Arctic countries in the first year of the COVID-19 pandemic. 新冠肺炎大流行第一年北极国家的公共卫生限制、指令和措施。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 Epub Date: 2023-10-29 DOI: 10.1080/22423982.2023.2271211

Malory Peterson, Gwen Healey Akearok, Katie Cueva, Josée G Lavoie, Christina Vl Larsen, Lára Jóhannsdóttir, David Cook, Lena Maria Nilsson, Arja Rautio, Ulla Timlin, Miguel San Sebastián, Elena Gladun, Elizabeth Rink, Ann Ragnhild Broderstadt, Inger Dagsvold, Susanna Siri, Charlotte Brandstrup Ottendahl, Ingelise Olesen, Larisa Zatseva, Rebecca Ipiaqruk Young, Ay'aqulluk Jim Chaliak, Emily Ophus, Jon Petter A Stoor

{"title":"Public health restrictions, directives, and measures in Arctic countries in the first year of the COVID-19 pandemic.","authors":"Malory Peterson, Gwen Healey Akearok, Katie Cueva, Josée G Lavoie, Christina Vl Larsen, Lára Jóhannsdóttir, David Cook, Lena Maria Nilsson, Arja Rautio, Ulla Timlin, Miguel San Sebastián, Elena Gladun, Elizabeth Rink, Ann Ragnhild Broderstadt, Inger Dagsvold, Susanna Siri, Charlotte Brandstrup Ottendahl, Ingelise Olesen, Larisa Zatseva, Rebecca Ipiaqruk Young, Ay'aqulluk Jim Chaliak, Emily Ophus, Jon Petter A Stoor","doi":"10.1080/22423982.2023.2271211","DOIUrl":"10.1080/22423982.2023.2271211","url":null,"abstract":"Beginning January of 2020, COVID-19 cases detected in Arctic countries triggered government policy responses to stop transmission and limit caseloads beneath levels that would overwhelm existing healthcare systems. This review details the various restrictions, health mandates, and transmission mitigation strategies imposed by governments in eight Arctic countries (the United States, Canada, Greenland, Norway, Finland, Sweden, Iceland, and Russia) during the first year of the COVID-19 pandemic, through 31 January 2021s31 January 2021. We highlight formal protocols and informal initiatives adopted by local communities in each country, beyond what was mandated by regional or national governments. This review documents travel restrictions, communications, testing strategies, and use of health technology to track and monitor COVID-19 cases. We provide geographical and sociocultural background and draw on local media and communications to contextualise the impact of COVID-19 emergence and prevention measures in Indigenous communities in the Arctic. Countries saw varied case rates associated with local protocols, governance, and population. Still, almost all regions maintained low COVID-19 case rates until November of 2020. This review was produced as part of an international collaboration to identify community-driven, evidence-based promising practices and recommendations to inform pan-Arctic collaboration and decision making in public health during global emergencies.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emplacing reablement co-creating an outdoor recreation model in the rural Arctic. 在北极乡村共同创造户外娱乐模式。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 Epub Date: 2023-10-26 DOI: 10.1080/22423982.2023.2273013

Marianne Eliassen, Bodil A Sørensen, Trude A Hartviksen, Solrun Holm, Magnus Zingmark

{"title":"Emplacing reablement co-creating an outdoor recreation model in the rural Arctic.","authors":"Marianne Eliassen, Bodil A Sørensen, Trude A Hartviksen, Solrun Holm, Magnus Zingmark","doi":"10.1080/22423982.2023.2273013","DOIUrl":"10.1080/22423982.2023.2273013","url":null,"abstract":"Reablement aims to enable older persons with functional decline to re-engage in meaningful activities. The benefits of engagement in outdoor activities are significant; however, reablement services primarily target function in indoor environments whereas descriptions of outdoor activities are sparse. The aim of this study was to create a model that integrates outdoor recreation into reablement. We therefore elaborated on an experienced based co-design methodology to create a model that integrates outdoor recreation for older persons in reablement in an Arctic, rural context in northern Norway. Stakeholders (N = 35), including reablement participants, participated in workshops, focus groups, and individual interviews. Based on the results, we co-created a person-centred model for outdoor recreation in reablement, including an assessment tool that can guide reablement staff in goal-setting practices. Accordingly, we argue that cherished locations holds significant meaning in the lives of older people and warrant recognition in reablement programmes. There is a need to evaluate the effects and feasibility of the model and the possibility for its implementation in other health care settings.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54228941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are sport and traditional Inuit games identified as tools in current Inuit suicide prevention strategies?: A content analysis. 体育和传统的因纽特游戏被确定为目前因纽特人自杀预防策略的工具吗?:内容分析。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 Epub Date: 2023-11-22 DOI: 10.1080/22423982.2023.2276983

Hannah Frazer, Audrey R Giles

{"title":"Are sport and traditional Inuit games identified as tools in current Inuit suicide prevention strategies?: A content analysis.","authors":"Hannah Frazer, Audrey R Giles","doi":"10.1080/22423982.2023.2276983","DOIUrl":"10.1080/22423982.2023.2276983","url":null,"abstract":"Eekeeluak Avalak, an 18-year-old Inuk wrestler who won the first-ever gold medal for Nunavut at the Canada Summer Games in 2022, dedicated his win to his late brother who died by suicide in 2015. Avalak openly attributed sport - specifically wrestling - to saving his own life. This story raises important questions about the role of sport and traditional games in Inuit suicide prevention strategies. Few studies have examined the role of sport or traditional games in Inuit suicide prevention strategies. In an attempt to reduce Inuit suicide rates, in addition to the National Inuit Prevention Strategy, three of the four land claim regions that constitute Inuit Nunangat have suicide prevention strategies. In this study, we used settler colonial theory, critical Inuit studies, and content analysis to examine if and how sport and Inuit traditional games are identified as prevention tools in these Inuit suicide prevention strategies. The results demonstrate that sport and traditional games have largely been overlooked as protective factors in current Inuit-wide and land-claim specific suicide prevention strategies. Moving forward, evidence-based and community-driven approaches could be funded, created, implemented, and evaluated as culturally-safe Inuit mental health intervention models to address the disproportionately high suicide rates among Inuit in Inuit Nunangat.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138295173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of sucrase-isomaltase deficiency on metabolism, food intake and preferences: protocol for a dietary intervention study. 蔗糖-异麦芽糖酶缺乏对代谢、食物摄入和偏好的影响:一项饮食干预研究的方案

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 Epub Date: 2023-02-22 DOI: 10.1080/22423982.2023.2178067

Ninna Karsbæk Senftleber, Kristine Skøtt Pedersen, Cecilie Schnoor Jørgensen, Hanne Pedersen, Marie Mathilde Bjerg Christensen, Emilie Kabel Madsen, Kristine Andersen, Emil Jørsboe, Matthew Paul Gillum, Michael Bom Frøst, Torben Hansen, Marit Eika Jørgensen

{"title":"The effect of sucrase-isomaltase deficiency on metabolism, food intake and preferences: protocol for a dietary intervention study.","authors":"Ninna Karsbæk Senftleber, Kristine Skøtt Pedersen, Cecilie Schnoor Jørgensen, Hanne Pedersen, Marie Mathilde Bjerg Christensen, Emilie Kabel Madsen, Kristine Andersen, Emil Jørsboe, Matthew Paul Gillum, Michael Bom Frøst, Torben Hansen, Marit Eika Jørgensen","doi":"10.1080/22423982.2023.2178067","DOIUrl":"10.1080/22423982.2023.2178067","url":null,"abstract":"In Greenland, traditional marine foods are increasingly being replaced by sucrose- and starch-rich foods. A knock-out c.273_274delAG variant in the sucrase-isomaltase (SI) gene is relatively common in Greenland, with homozygous carriers being unable to digest sucrose and some starch. The variant is associated with a healthier metabolic phenotype in Greenlanders, which is confirmed by SI-knockout mice. We aim to assess if the healthy phenotype is explained by metabolic and microbial differences and if food and taste preferences differ between SI-genotypes. This paper describes the protocol for a randomised cross-over trial conducted in Greenland in 2022 with two dietary interventions of three days; a traditional meat- and fish-rich diet and a starch-rich Western diet with 11 energy% sucrose. The power calculation showed that 22 homozygous SI-carriers and 22 non-carriers were sufficient to detect a 0.5 mmol/L difference in glycaemic variability (80% power, α=0.05). We enrolled 18 carriers and 20 non-carriers. We examined food preferences at baseline and collected samples before and after each intervention for metabolic, metabolome, and microbiome profiling. Analyses of samples have not been completed yet. The Ethics Committee of Greenland approved the study. Results will be disseminated in international peer-reviewed journals and to the general Greenlandic population. NCT05375656.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A preliminary study of the thermal strain experienced by dive support boat personnel. 潜水支援艇人员热应变的初步研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 DOI: 10.1080/22423982.2023.2199491

Samantha Saunders, Will Furby, Kieran Chillingsworth, Ella F Walker, Graham White

{"title":"A preliminary study of the thermal strain experienced by dive support boat personnel.","authors":"Samantha Saunders, Will Furby, Kieran Chillingsworth, Ella F Walker, Graham White","doi":"10.1080/22423982.2023.2199491","DOIUrl":"10.1080/22423982.2023.2199491","url":null,"abstract":"Anecdotal evidence indicated some British military dive support boat personnel suffer from uncomfortably cold hands and feet, which could impair their performance and be associated with reductions in core body temperature. This study collected preliminary data on thermal stress and cognitive performance of personnel taking part in a cold-weather training exercise. Six men were monitored during four boat transits in a range of climatic conditions (air temperature +1.2°C to -10.5°C, wind chill -4.5°C to 19.3°C). Core body temperature was measured with a radio pill and 12 skin sites (ISO 9886 plus hand, finger, foot and toe) with iButtons or thermistors. Self-reported thermal comfort and thermal sensation was also recorded. Reaction time and selective attention were measured pre- and post-transit. Participants' physical characteristics and personal clothing ensembles were recorded. No participant became hypothermic. Most participants' hand, foot and digit temperatures fell to below 15°C, indicating a risk of impaired dexterity, in addition to that arising from gloves. During the trial, hand and digit temperatures occasionally fell below 10°C. The limited data collected showed personal clothing choices could provide adequate thermal protection for these conditions and temperatures, and highlighted inter-individual variation and the need to allow for significant variation of day-to-day environmental conditions.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/8a/ZICH_82_2199491.PMC10114968.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care. 北极和极寒环境中的伤员疏散:战术战斗伤员护理中创伤性低温管理的范式转变。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 DOI: 10.1080/22423982.2023.2196047

Titus J Rund

{"title":"Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care.","authors":"Titus J Rund","doi":"10.1080/22423982.2023.2196047","DOIUrl":"10.1080/22423982.2023.2196047","url":null,"abstract":"In Arctic or extreme cold environments of Alaska, trauma care is complicated by large expanses of geography and lack of forward-positioned resources. This paper presents four hypothetical vignettes highlighting austere cold medical priorities: (1) traumatic hypothermia management as part of Tactical Combat Casualty Care (TCCC) is clinically and tactically important and hypothermia needs to be reprioritized in the MARCH algorithm to MhARCH; (2) at present it is unknown which TCCC recommended medical equipment/supplies will function as designed in the extreme cold; (3) ensuring advanced resuscitative care measures are available serves as a temporal bridge until casualties can receive damage control resuscitation (DCR); and (4) current systems for managing traumatic hypothermia in TCCC and casualty evacuation (CASEVAC) are insufficient. In conclusion, numerous assessments recognise the DoD's current solutions for employing medical forces in Arctic operations are not optimally postured to save lives. There should be a joint standard for fielding an arctic supplement to current medical equipment sets. A new way of thinking in terms of an \"ecosystem\" approach of immediate casualty protection and movement in CASEVAC doctrine is needed to optimise these \"Golden Minutes.\"","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10173794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Greenlandic norms for the parent-report and self-report versions of the Strengths and Difficulties Questionnaire (SDQ). 优势与困难问卷(SDQ)的家长报告和自我报告版本的格陵兰规范。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 Epub Date: 2023-11-13 DOI: 10.1080/22423982.2023.2279790

Trine Banzon, Ask Elklit

{"title":"Greenlandic norms for the parent-report and self-report versions of the Strengths and Difficulties Questionnaire (SDQ).","authors":"Trine Banzon, Ask Elklit","doi":"10.1080/22423982.2023.2279790","DOIUrl":"10.1080/22423982.2023.2279790","url":null,"abstract":"The Strengths and Difficulties Questionnaire (SDQ) is a brief screening questionnaire of child behaviour, used to evaluate mental health. It is applicable for children 2-17 years, available to both parents and professionals, and exists in a self-report version available from the age of 11 years. This paper aims to generate Greenlandic norms on the self-report and parent-report versions of the SDQ. In 2023, the self-report version was translated, and a representative sample of children and adolescents completed the SDQ (N = 641). In 2008, the parent-report version was translated into Greenlandic and used in a study of children's well-being (N = 939). Data from both samples were analysed, generating normative scores. Results show significant differences between genders (effect sizes of .006-.145), and discrepancies between parent and self-report. Parents report higher total problems for boys, while self-reporting indicate higher total problems for girls. Cut-off values are higher for self-report norms than parent-report norms. Mean scores on the SDQ total score and subscales differ across age, area of living, caregiver constellation and caregiver's educational level (effect sizes of .011-.064). With the availability of Greenlandic norms, we anticipate further use of the SDQ in clinical practice and research settings, strengthening screening and assessment of children and adolescents.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10653636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92153767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

We are all exposed, but some are more exposed than others. 我们都有危险，只是有些人比其他人更危险。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 DOI: 10.1080/22423982.2023.2199492

Boris Kingma, Wendy Sullivan-Kwantes, John Castellani, Karl Friedl, François Haman

{"title":"We are all exposed, but some are more exposed than others.","authors":"Boris Kingma, Wendy Sullivan-Kwantes, John Castellani, Karl Friedl, François Haman","doi":"10.1080/22423982.2023.2199492","DOIUrl":"10.1080/22423982.2023.2199492","url":null,"abstract":"This paper defines functional cold exposure zones that illustrate whether a person is at risk of developing physical performance loss or cold weather injuries. Individual variation in body characteristics, activity level, clothing and protective equipment all contribute to variation in the effective exposure. Nevertheless, with the right education, training, and cold-adapted behaviours the exposure differences might not necessarily lead to increased risk for cold injury. To support the preparation process for cold weather operations, this paper presents a biophysical analysis explaining how much cold exposure risk can vary between individuals in the same environment. The results suggest that smaller persons are prone to be underdressed for moderate activity levels and larger persons are prone to be overdressed. The consequences of these discrepancies place people at different risks for performance loss or cold weather injuries. Nonetheless, even if all are well-dressed at the whole-body level, variation in hand morphology is also expected to influence hand skin temperatures that can be maintained; with smaller hands being more prone to reach skin temperatures associated with dexterity loss or cold weather injuries. In conclusion, this work focusses on bringing cold science to the Arctic warrior, establishing that combating cold stress is not a one size fits all approach.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/19/ZICH_82_2199492.PMC10116924.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9483583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic. 跨司法管辖区大流行管理:服务提供者讲述努纳武特因纽特人在2019冠状病毒病大流行期间在马尼托巴获得服务的经验。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2023-12-01 Epub Date: 2023-09-20 DOI: 10.1080/22423982.2023.2259122

Josée G Lavoie, Wayne Clark, Leah McDonnell, Nathan Nickel, Rachel Dutton, Janet Kanayok, Melinda Fowler-Woods, Jac Anawak, Nuqaalaq Brown, Grace Voisey Clark, Tagaak Evaluardjuk-Palmer, Sabrina T Wong, Julianne Sanguins, Adriana Mudryj, Nastania Mullins, Marti Ford, Judy Clark

{"title":"Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic.","authors":"Josée G Lavoie, Wayne Clark, Leah McDonnell, Nathan Nickel, Rachel Dutton, Janet Kanayok, Melinda Fowler-Woods, Jac Anawak, Nuqaalaq Brown, Grace Voisey Clark, Tagaak Evaluardjuk-Palmer, Sabrina T Wong, Julianne Sanguins, Adriana Mudryj, Nastania Mullins, Marti Ford, Judy Clark","doi":"10.1080/22423982.2023.2259122","DOIUrl":"10.1080/22423982.2023.2259122","url":null,"abstract":"Across Canada, the COVID-19 pandemic placed considerable stress on territorial and provincial healthcare systems. For Nunavut, the need to continue to provide access to critical care to its citizens meant that medical travel to provincial points of care (Edmonton, Winnipeg and Ottawa) had to continue through the pandemic. This complexity created challenges related to the need to keep Nunavut residents safe while accessing care, and to manage the risk of outbreaks in Nunavut resultant from patients returning home. A number of strategies were adopted to mitigate risk, including the expansion of virtual care, self-isolation requirements before returning from Winnipeg, and a level of cross-jurisdictional coordination previously unprecedented. Structural limitations in Nunavut however limited opportunities to expand virtual care, and to allow providers from Manitoba to access the Nunavut's electronic medical records of patients requiring follow up. Thus, known and long-standing issues exacerbated vulnerabilities within the Nunavut healthcare system. We conclude that addressing cross-jurisdictional issues would be well served by the development of a more formal Nunavut-Manitoba agreement (with similar agreements with Ontario and Alberta), outlining mutual obligations and accountabilities.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/c8/ZICH_82_2259122.PMC10515685.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0