Crystal Milligan

• Master of Science
• University of Toronto

In northern Canada, medical travel – the movement of patients to a larger centre to access healthcare services outside their home community – is a dominant feature of the healthcare system. This qualitative study explored the medical travel experiences of Gwich’in living above the Arctic Circle in the Gwich’in Settlement Area in Northwest Territori...

Medical travel, where a patient travels to a larger centre for services not available in their home community, is a critical element of the Northwest Territories (NT) health care system. For residents with a valid NT health care card who do not have other coverage for medical travel, the territorial government administers some travel benefits throu...

Background. Arctic Indigenous communities are unique, geographically remote and/or isolated, and currently among the most susceptible populations in the world to the effects of the coronavirus disease 2019 (COVID-19) pandemic. Since colonization, Indigenous communities have been particularly susceptible to infectious disease outbreaks. Methods. Thi...

The full text of this preprint has been withdrawn by the authors as it was submitted and made public without the full consent of all the authors. Therefore, the authors do not wish this work to be cited as a reference. Questions should be directed to the corresponding author.

Background It is well documented that Canadian healthcare does not fully meet the health needs of First Nations, Inuit or Métis peoples. In 1996, the Royal Commission on Aboriginal Peoples concluded that Indigenous peoples’ healthcare needs had to be met by strategies and systems that emerged from Indigenous worldviews and cultures. In 2015, the Tr...

Patient safety is a complex systems issue. In this study, we used a scoping review of peer-reviewed literature and a case study of provincial and territorial legislation in Canada to explore the influence of mandatory reporting legislation on patient safety outcomes in hospital settings. We drew from a conceptual model that examines the components...

Background Communities represent a highly relevant source of knowledge with regard to not only healthcare performance but also sociocultural context, yet their role in learning health systems has not been studied. Situating the learning health system as an organization, this paper explores the phenomenon of organizational learning from or with comm...

Background: Communities represent a highly relevant source of knowledge with regard to not only healthcare performance but also sociocultural context, yet their role in learning health systems has not been studied. Situating the learning health system as an organization, this paper explores the phenomenon of organizational learning from or with com...

The North American COVID-19 policy monitor has been designed to collect and organize up-to-date information on how provinces and territories are responding to the crisis. This report focuses on the Northwest Territories. The North American policy monitor is an offshoot of the international COVID-19 Health System Response Monitor (HSRM), a joint und...

Objectives This paper explores patient experiences and identifies barriers and opportunities for improving access to healthcare for patients from the Canadian north who travel to receive medical care in a Southern province. Design A mixed-methods, cross-sectional study involved one-on-one interviews, focus group discussions and key informant inter...

Child sexual abuse (CSA) is a significant public health problem with serious consequences for human and socioeconomic development. In Nicaragua there is a dearth of information about CSA in relation to the health sector. The purpose of this study was to assess the Nicaraguan health sector's most fundamental capacity to respond to CSA, by way of inv...