They really want to go back home, they hate it here: the importance of place in Canadian health professionals' views on the barriers facing Aboriginal patients accessing kidney transplants.
Aboriginal Canadian patients with end-stage kidney disease receive disproportionately fewer transplants than non-Aboriginal patients. The reasons for this are poorly understood and likely to be complex. This qualitative study employed thematic analysis of in-depth interviews with Canadian kidney health professionals (n=23) from programs across Canada to explore their perspective on this disparity. Individual-level factors were the most commonly reported barriers to Aboriginal patients accessing transplants-most notable of which was patients' remote living location. Understanding the role of 'place' as a barrier to accessing care and the lived experiences of Aboriginal patients emerged as key research priorities.
Anderson
Kate
K
The George Institute for International Health and the University of Sydney, PO Box M201, Missenden Road, Camperdown, NSW 2096, Australia. kanderson@george.org.au
Yeates
Karen
K
Cunningham
Joan
J
Devitt
Jeannie
J
Cass
Alan
A
D002170:Canada; D006282:Health Personnel / Q000523:psychology; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D007407:Interviews as Topic; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation / Q000208:ethnology* / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care; D044382:Population Groups