Findings arising from the In Plain Sight (2020) report confirmed that Indigenous Peoples in British Columbia are faced with discrimination and racism in the healthcare system. Patient-reported experience measurement (PREMs) is essential to understanding the experiences of patients in the healthcare system— but it is important that PREMs for Indigenous Peoples are conducted in culturally safe ways.
To better understand cultural safety in PREMs, this research project had a two-fold approach: a scoping review and key informant interviews.
The scoping review focused on the methodology of published studies. In total, 79 articles were included and several key factors were found, including:
The research project also included interviews with key informants. In total, eleven key informants were interviewed. We discussed how PREMs could be done in a culturally safe way with Indigenous Peoples. The historical and social context of colonization and the subsequent power imbalances between Indigenous patients and the healthcare system was a prominent factor in shaping experiences within healthcare settings.
Some key recommendations emerged, including:
We anticipate this research will have two main outputs: the scoping review as well as findings from interviews with key informants.
Elder Syexwaliya, Ann Whonnock
Sonia Isaac-Mann, Lead
Megan Misovic, Lead
Mathew Fleury, Lead ✉
In Memoriam of Bill Blackwater