title: Characteristics and residence of First Nations patients and their use of health care services in Saskatchewan, Canada: informing First Nations and Métis health services.
abstract: BACKGROUND
  In Canada, Aboriginal people, particularly First Nations experience significant health disparities and a lower health status compared with the non-Aboriginal population.
  
  
  OBJECTIVE
  The purpose of this study was to examine the demographic and clinical characteristics of First Nations patients admitted to hospitals in Saskatchewan, and the acute care services used by First Nations compared with non-First Nations, specifically hospital length of stay. Primary residence of patients was also mapped to determine geographic patterns that would inform health service provision.
  
  
  METHODS
  A retrospective medical chart audit was carried out to collect data on patient demographics and clinical characteristics of 203 First Nations and 200 non-First Nations patients admitted to two urban hospitals in Saskatchewan from 2012 to 2014.
  
  
  RESULTS
  The most common reason for admission of First Nations and non-First Nations patients was infection (24.6%) and cardiology conditions (19.5%), respectively. There was no significant difference in mean length of stay for First Nations (10.44 days) compared with non-First Nations (10.57 days). After adjusting for age, mean length of stay for First Nations was nearly 3 days longer than non-First Nations. First Nations patients' residence was from across the broad geography of Saskatchewan, with 45% living in rural communities or on reserve.
  
  
  CONCLUSIONS
  The outcomes of this study are clinically meaningful and support the need for research, in collaboration with Aboriginal patients and families, to further examine and improve the care experience in order to decrease health disparities for Aboriginal patients in Canada.
authors.affiliation: First Nations and Métis Health Services, Royal University Hospital, Saskatoon Health Region, Saskatoon, Saskatchewan, Canada.
authors.forename: Gabe
authors.initials: G
authors.lastname: Lafond
authors.affiliation: University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Charlene R A
authors.initials: CR
authors.lastname: Haver
authors.affiliation: First Nations and Métis Health Services, St. Paul's Hospital, Saskatoon Health Region, Saskatoon, Saskatchewan, Canada.
authors.forename: Valerie
authors.initials: V
authors.lastname: McLeod
authors.affiliation: First Nations and Métis Health Services, Royal University Hospital, Saskatoon Health Region, Saskatoon, Saskatchewan, Canada.
authors.forename: Sharon
authors.initials: S
authors.lastname: Clarke
authors.affiliation: College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Beth
authors.initials: B
authors.lastname: Horsburgh
authors.affiliation: University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: McLeod
mesh_terms: D000328:Adult; D000367:Age Factors; D044467:American Indian or Alaska Native / Q000706:statistics & numerical data*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012424:Rural Population; D012525:Saskatchewan; D012737:Sex Factors; D012959:Socioeconomic Factors
keywords: Aboriginal people; Canada; First Nations; Indigenous; health care utilization; length of stay