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Relational Work Is the Work: Virtual Healthcare Transformation for Rural, Remote and First Nations Communities in

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Innovative virtual care, Real-Time Virtual Support (RTVS), addresses healthcare barriers in rural First Nations communities. This approach prioritizes Indigenous perspectives and co-creation for equitable health services.

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Area of Science:

  • Indigenous Health
  • Virtual Care Technology
  • Health Service Delivery

Background:

  • Persistent healthcare access barriers exist in unceded First Nations territories in rural, remote, and Indigenous communities in British Columbia.
  • Existing healthcare models often fail to address the unique needs and perspectives of Indigenous populations.

Purpose of the Study:

  • To describe the development and implementation of an innovative virtual care program, Real-Time Virtual Support (RTVS).
  • To highlight key approaches, learnings, and considerations for improving healthcare equity in underserved communities.
  • To share lessons learned from a collaborative framework incorporating Indigenous perspectives.

Main Methods:

  • Development of a collaboration framework for health service design, integrating First Nations' perspectives on health and wellness.
  • Prioritization of relational work, building trust and connections within the partnership.
  • Application of co-creation principles with inclusive engagement across diverse sectors and interest groups.

Main Results:

  • Successful creation of the Real-Time Virtual Support (RTVS) suite of virtual care programs.
  • Demonstrated the effectiveness of a technology-driven, partnership-based approach to healthcare delivery.
  • Identified key lessons for enhancing healthcare equity through culturally informed and collaborative models.

Conclusions:

  • Moving beyond a purely biomedical model is crucial for effective healthcare in Indigenous communities.
  • Prioritizing relationship-building and trust is fundamental to successful inter-sectoral health collaborations.
  • Co-creation and inclusive engagement are essential for developing equitable and responsive healthcare solutions for rural and remote First Nations.