College of Medicine - Master of Physician Assistant Studies Capstone Projects

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Browsing College of Medicine - Master of Physician Assistant Studies Capstone Projects by Subject "Barriers"

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    Access Barriers Among Indigenous Women Seeking Prenatal Care in Canada: A Literature Review
    (2021-05-15) Jameson, Alexis
    Introduction: Many expecting Indigenous women suffer from disproportionally high risks and adverse outcomes relative to non-Indigenous women when seeking adequate prenatal care due to access barriers in Canada’s healthcare system. Objective: The purpose of this literature review was to identify the barriers Indigenous women face when accessing prenatal care and to investigate programs and possible modifications to the health care system to improve prenatal care access for Indigenous women. The last objective was to determine if utilizing physician assistants may act as a potential solution to improving access to prenatal care for Indigenous women. Methods: A literature search using PubMed, Scopus, and CINAHL databases was performed using key terms pertaining to access barriers to prenatal care among Indigenous women in Canada. Five articles were found to meet the inclusion criteria and were analyzed in this literature review. Results: Three studies explored the challenges that Indigenous women experience when seeking prenatal care in Canada. Two studies investigated potential programming or system modifications to improve safe access to prenatal care among Indigenous women. Limited research was found regarding the use of physician assistants providing prenatal care among Indigenous women in Canada. Conclusion: The barriers to prenatal care among Indigenous women identified in this literature review fit under the social determinants of health, including transportation and geographical location, social support networks with family and providers, and lack of cultural awareness and understanding from providers. Strategies to improve access to prenatal care among Indigenous women included an interdisciplinary team using a holistic approach to provide culturally safe care to Indigenous women.
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    Identifying Barriers for Implementing an Early Childhood Caries Risk Assessment Tool for Non-Dental Primary Care Providers
    (2021-05-15) Sheth, Darsh Nilesh
    Purpose: The purpose of this project was to determine barriers to the implementation of a caries risk assessment tool for non-dental primary care providers. This project aimed to identify necessary requirements for practitioners to reduce the incidence of early childhood caries in the population. Methods: 8 participants were recruited for this project, which consisted of physician assistants, nurse practitioners, and physicians practicing in Manitoba. There were 2 focus groups and 1 interview session conducted on the virtual video communication platform Zoom, and 1 focus group session held in-person following COVID-19 protocols and restrictions. Results: Four themes were identified that related to barriers to implementation of a caries risk assessment tool: time, provider education, access to resources, and parental buy-in. Further breakdown of the themes included discussion on appointment slots, training, funding, and education respectively. Conclusion: All participants considered the caries risk assessment tool to be a great resource but further research needs to be conducted with larger sample sizes and additional professions to gain an additional understanding of barriers to implementation.