Innovative Approaches to Promoting Health Equity for Indigenous and non-Indigenous People in Primary Health Care Clinics


Despite repeated calls to close the health equity gap, little attention has been paid to the complexity of implementing and measuring equity-oriented care in primary health care (PHC) settings. Dr Browne will discuss new research generated from EQUIP Healthcare, a program of research studying the impact of a multi-component organisational intervention designed to enhance equity-oriented care for Indigenous and non-Indigenous populations in four diverse PHC settings in Canada. The EQUIP intervention draws on decolonising methodologies and interdisciplinary theoretical perspectives (e.g. complexity theory, gender-based analysis and intersectionality), and involves an equity intervention underpinned by trauma- and violence-informed care, cultural safety, and an understanding of the causes and consequences of health inequities. Using mixed methods, data were collected from patients, staff members and the clinics’ funding and policy contexts. Findings show that the EQUIP intervention shifted practices and organisational processes, and identify a pathway between equity-oriented care and improvements in patient outcomes. Dr Browne will also discuss implications for promoting health equity for Indigenous and non-Indigenous people in emergency departments as part of her ongoing program of research.

Annette Browne’s research focuses on strategies for fostering health equity, with a particular focus on implications for Indigenous populations. She is currently leading research on: the impact of organizational-level interventions to improve health equity in primary health care clinics; promoting health for Indigenous women experiencing violence; and, improving health care for Indigenous and non-Indigenous people in emergency departments. Her work is aimed at promoting health equity through improvements in health care delivery and policy.

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