Health system innovations that better support Indigenous patients, particularly in urban settings, exist in primary health services, but this has not been translated and integrated into specialty care. We sought to identify the experiences of urban First Nations and Metis patients with inflammatory arthritis in accessing and navigating the health system. We used a qualitative research method called Patient and Community Engagement Research Program (PaCER) led by patients using an iterative three phase process: Set, Collect, and Reflect. Initial access and continuity of specialty care can be facilitated with collaboration between primary and specialty care in an urban Indigenous health service model, where health system change was built on culturally responsive models of care.

中文翻译：

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增强城市原住民和梅蒂斯患者进入和导航炎性关节炎保健系统​​的经验的解决方案模型

初级保健服务中存在更好地为土著患者提供支持的医疗系统创新，特别是在城市环境中，但这尚未转化并整合到专科护理中。我们试图确定城市原住民和梅蒂斯患有炎性关节炎的患者在访问和导航卫生系统方面的经验。我们使用由患者领导的定性研究方法，即患者和社区参与研究计划（PaCER），该过程采用迭代的三个过程：设置，收集和反映。在城市土著卫生服务模型中，初级保健和专科护理之间的协作可以促进专科护理的最初获得和连续性，在该模型中，卫生系统的改变建立在对文化敏感的护理模型的基础上。