Dimension of Equity Oriented Care | ED Provider Strategies |
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Trauma and Violence Informed Care | • Recognizing past negative experiences with the health care system. • Making efforts to address concerns that may lead patients to decline or leave care. • Involving patients in shared decision making. |
Culturally Safe Care | • Recognizing that there can be differences in First Nations communications styles and behavioural norms (which will vary between peoples and communities), which fast-paced ED processes are not designed for. • Adjusting care approach to allow more time and ensure shared decision making. • Sensitivity in how questions about substance use are framed. • Advocating with colleagues for better understandings of social determinants of health, including discrimination. • Attention to power imbalances and their impact on the care encounter. • Reflection on personal biases and self-correcting biased assumptions during care interactions. |
Contextually Tailored Care | • Ensuring follow up appointments are at times and in places that patients can attend. • Ensuring the ability to communicate with the patient after discharge. • Ensuring continuity of care with next provider. • Providing transportation options. • Providing documentation patients need for other services. • Addressing social determinants of health that may prevent needed follow up care. |