Transformation of Indigenous Primary Healthcare Delivery (FORGE AHEAD): Community-driven Innovations and Strategic Scale-up Toolkits

Renseignements sur le financement
Canadian Institutes of Health Research
  • Type de subvention: Subvention d'équipe : initiative de réforme des soins de santé primaires communautaires - Institut de la santé des Autochtones
  • Années: 2013/14 à 2016/17
  • Financement total: $2,500,000
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Sommaire du projet

In Canada, significant disparities between the health status of Indigenous peoples and the general population exist, particularly for chronic diseases such as diabetes. There is a pressing need to shift the present episodic care focus common to most First Nations communities, to one that integrates prevention and management of chronic disease care. The overarching goal of the TransFORmation of IndiGEnous PrimAry HEAlthcare Delivery (FORGE AHEAD) research program is to develop and evaluate community-driven primary healthcare delivery models that enhance chronic disease management with appropriate access to available services in First Nations communities. The program will use a participatory research approach that honors and reflects the communities' involvement as full partners. Type 2 diabetes mellitus will be the chronic disease targeted. The activities in FORGE AHEAD are linked to the Expanded Chronic Care Model which describes the inter-relationships of individual, community, population and health system factors in chronic disease prevention and care. The projects within FORGE AHEAD include measuring community and healthcare provider readiness to change, supporting and integrating prevention activities within the community, developing community capacity for quality improvement activities and evaluating community-driven strategies to improve the quality of diabetes care. The program will produce a tool-kit of tested strategies that can be successfully implemented, sustained and used for other chronic diseases in First Nations communities in Canada.

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