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

Health Place. 2009 Mar;15(1):390-3. doi: 10.1016/j.healthplace.2008.03.002. Epub 2008 Mar 13.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Canada
  • Health Personnel / psychology
  • Health Services Accessibility*
  • Health Status Disparities
  • Humans
  • Interviews as Topic
  • Kidney Failure, Chronic / surgery
  • Kidney Transplantation / ethnology*
  • Kidney Transplantation / statistics & numerical data*
  • Patient Acceptance of Health Care*
  • Population Groups*