Manitoba Refugee, Migrant Workers, and Newcomers with ECRC in English

ASoftLandingin PrimaryCare

AconversationaboutPrimaryCarewith newcomersinWinnipeg

November2023

AbouttheCommunity Roundtable

OurCareisapan-Canadian conversationwithmembersofthe publicaboutthefutureofprimary care.TheprojectisledbyDr.Tara Kiran,afamilyphysicianand researchscientistbasedatSt. Michael’sHospital,UnityHealth Toronto,andtheUniversityof Toronto.Therearethreephasesto theproject:anationalsurvey, provincialprioritiespanels,and communityroundtables(seeAbout OurCareonpage20formore details).

Inordertodesignahealthcare systemthatmeetstheneedsof everyone, theneedsofmarginalized communitiesmustbecentredinthe conversation.Thecommunity roundtablesaimtolearnfrom communitiesthatarehistorically excludedorconsistentlyunderserved bytheprimarycaresystem.Two communityroundtableswerehosted inManitoba,onetoengage Indigenousyouthandthisone,to engageadiversegroupof newcomerstoCanada.

OurCarepartneredwiththeElmwood CommunityResourceCentre,an organizationthatprovidesabroad

spectrumofprogramsandservices fortheElmwoodcommunity.They provideyouth,family,education,and employmentservicesthroughoutthe community.Morerecently,their NewcomerSettlementprogram providesservicestopermanent residents,refugees,andUkrainian familieswithCanada-Ukraine AuthorizationforEmergencyTravel (CUAET)permits.Mostofthe roundtableparticipants,someof whomhadfledfromthewarin Ukraine,hadbeeninCanadaforless thantwoyears,andthiscollaboration wasauniqueopportunityforthemto cometogetherandsharetheir perspectivesonhealthcare.

TheElmwoodNewcomerCommunity RoundtablewasheldonSaturday, November25,2023,attheBronxPark CommunityCentreinWinnipeg. Twenty-fourParticipantsmetforsix hourstolearnabouttheprimarycare system,sharetheirperspectives,and generateideasforchangeto addresstheirconcerns.Theywere joinedbytwoguestspeakers.Dr.Alan Katz,SeniorResearcheratthe ManitobaCentreforHealthPolicy andProfessorattheMaxRady

CollegeofMedicineattheUniversity ofManitoba,spokeonthecurrent stateoftheprimarycaresystemin theprovince.Intheafternoon participantswerejoinedby Dr. AmandaCondon,afamilyphysician practicingcomprehensive,rural familymedicineinNotreDamede Lourdes,andanAssociateProfessor intheDepartmentofFamilyMedicine attheUniversityofManitoba.She engagedwithparticipantsonthe OurCareprojectasawhole,focusing onthethemesand recommendationsfromtheManitoba ProvincialPrioritiesPanel.Each presentationwasfollowedbya questionandanswerperiod.

Participantsspentthebulkoftheday togetherinsmallgroups,sharing whathasandhasnotbeenworking fortheirhealth,anddiscussing possibleremediestotheirconcerns. Thisreportreflectsthethemesand recommendationsidentifiedbythe roundtableparticipants.

WhoWeEngaged andWhy

Newcomers,likeanyotherresidents inCanada,havebothurgentand ongoingneedsforhealthcare,but oftenfacechallengesaccessingit. FormanynewcomerstoManitoba, theirneedsarenotbeingmetbythe healthcaresystem,andtheirvoices areunderrepresentedinpublic forums.Theroundtablewas organizedtohighlighttheunique challengesfacedbynewcomersin accessingprimarycareandto elevatetheirperspectivesonhowto addressthesechallenges.

Thankstotherecruitmenteffortsof Elmwood,theroundtableparticipants wereadiversegroupofcommunity members.The24participantswho attendedrepresentedabroadrange ofages,countriesoforigin,and languages.Theroundtableincluded newcomerswhoareservedbythe ElmwoodCommunityResource Centre’sNewcomerSettlement programandresideintheElmwood neighbourhoodcatchmentarea.To ensuretheroundtablewas accessible,participantswereoffered stipendsandequity-basedsupport, includingonsitechildcare.

Newcomerscompriseapproximately 19.7percentofthetotalpopulationof Manitoba, withthepercentage increasingeveryyear.1Thisisnota homogeneousgroup,representing diversecultures,religions,age groups,andresidencystatuses. WhethertheycametoCanadafor economicopportunities,tobewith family,ortofleepersecution, newcomersintheprovinceeach bringuniqueexperiencesintheir settlementinCanada.Auniting experienceamongnewcomersisthe needtobuildanewlifeinan unfamiliarcountry,havingtosecure housing,employment,andhealth caretomeettheirneeds.

However,theprovinceofManitobais experiencingdisproportionatestress onitsprimarycaresystem.Manitoba hasthelowestpercapitanumberof familyphysiciansofanyprovince Canada,withmuchofthepopulation unattachedtoacareprovider.2 Additionalbarrierstocare,suchas longwaittimesandservices centralizedinthedowntowncore, addchallengesforthegeneral population.

1 https://www12.statcan.gc.ca/census-recensement/2021/as-sa/fogs-spg/page.cfm?lang=E&topic=9&dguid=2021A000246 2 https://assets.doctorsmanitoba.ca/documents/Physician-Resources-Manitoba.pdf, 5

NewcomersinManitobaface compoundedbarrierstocaredueto residencystatusandothersocial determinantsofhealth.

Migrantsofvariousstatuseshaveto navigateextensivebureaucratic processesbeforetheycanenjoythe samebenefitsasresidents,including theabilitytoworkandaccess provincialhealthcare.Duringthis time,accesstoservicesvaries greatlybasedonresidencystatus, withrefugeeclaimantsexperiencing vastlydifferentwaittimesand supportthanothermigrants. Additionalbarrierstosecuringwork andeducationalsoexcludemigrants fromaccessingservices,suchas mentalhealth,thatcontributetotheir overallwell-being.

Thisroundtablesoughttosurfacethe uniqueperspectivesandexperiences ofmembersofthesecommunitiesto hearfirsthandhowprimarycare systemsimpacttheirhealthand well-being.Tocreateinterventionsto addressthecomplexintersectional barriers,caremodelsneedtobebuilt withtheirneedsinmind.Hearing whatisworkingand,more importantly,whatisn’tworkingfor newcomersinManitobaisessential toeliminatesystemicbarrierstocare.

WhatWeLearned

Themes

Throughouttheroundtable conversations,participantsdiscussed thedeficienciesofthecurrent healthcaresystem.Someofthe barriersidentifiedarethose experiencedbythegeneral population,suchas:

● Scarcityoffamilydoctorsand longwait-listsforbothprimary careandotherhealthcare services.Manysharedtheir experiencesofwaitingfor extendedperiodsforcare,with somesharingexamplesofthe negativeoutcomesitledto.

● Disorganizedcare, characterizedbyunclear instructionsandalackof follow-upafterappointments, leavingpatientsuncertain abouthowtoproceedafter receivingdiagnosticservices.

● Inabilitytoaccessone’sown healthinformation,which contributestouncertaintyafter receivingservices.

Outsideofthebarrierslistedabove, participantsdiscussed,atlength,the uniquebarriersfacedbynewcomers inManitoba.Thefollowingthemes outlinetherecurringbarriers highlightedduringtheroundtable.

FinancialBarrierstoCare

Acentralbarrierhighlightedby participantswasthecostof accessingancillarycare.The expensesassociatedwithessential itemssuchasprescription medicationandmedicalequipment areoftenprohibitiveforindividuals treatingtheirailments.Notably, financialbarriersextendedtocosts associatedwithemergencyservices, particularlyambulances.Many participantssharedhowthecostsof ambulanceswereasignificantfactor indecidingwhethertocall911inan emergency.Withlimitedtransit options,andforsomenomoneyto payforride-shareservices,callingfor anambulancebecomesanecessity, whichonlypushesfinancialhardship downtheline.Oneparticipantshared that,afterexperiencingamedical emergencyandreceivingan ambulancebill,hadtoasktheir employertogivehermoreshiftsto payitoff.

Beyondemergencyservices, participantshighlightedthelimited scopeofpubliclyfundedservicesas adetrimenttoholisticcare.They spokeabouttheneedtoexpand publiccoverageforotherservicesto pursueoverallhealth.Notably,there

wasademandfordentalandvision care,serviceslargelyaccessibleonly tothosewithprivateinsurance.This exclusionpreventscasualand low-incomeworkerswithoutbenefits fromaccessingvitalcarenecessary fortheirhealth.Participantsexplored ideassuchasdiversifyinginsurance optionsandcreatingdedicated streamsfornewcomerstoensure continuedaccesstotheseservices.

Community-BasedCare

Manyoftheroundtableparticipants disclosedhowtheydonothave regularaccesstocare. Ininstances wheretheycanaccesscare,theyare oftenlimitedbytherestrictionof addressingonlyoneissuepervisit. Participantsemphasizedtheneedfor integrated,team-basedmodelsof carethatallowthemto comprehensivelyaddresstheir needs.

ModelssuchasCommunityHealth Centreswerehighlighted,asthey makeiteasiertoconnectto specialistsandreceivecareintheir primarylanguage.Participantsalso spoketothebenefitsoflong-term relationalcareprovidedthrough integratedteam-basedcaremodels. Manybelievedthatbuilding relationshipswithadedicated providerorteamcanhelpease

linguisticandculturalbarriersand effectivelycommunicatetheirneeds. Duetotheirlackoffamiliaritywiththe Canadianhealthcaresystem, participantsalsosawtheopportunity forCHCstoassistineducationand navigationofthehealthsystem.

AlternativeWaystoAccessCare

Alternativepathwaystocarewere extensivelydiscussedduringthe roundtable.Citinglongwaittimes anddifficultiesaccessingfamily doctors,participantssharedpositive experiencesofseekingcarebeyond thetraditionalprimarycaresystem. Theabilityforpharmaciststoprovide accessibletreatmentforminor illnesseswasapositiveexample highlightedbyparticipants.By choosingapharmacistovera hospitalorurgentclinic,participants sharedhowtheyavoidedhoursof waittimes.

Privatevirtualcareoptions,suchas QDoc,werediscussedasalternative careoptions.3Virtualserviceslike QDocwerecitedasproviding accessible,timelyaccesstoaddress participants’immediatecareneeds. Someparticipantssharedstories wheretheywerereferredtoQDocfor after-hoursmedicalneedsduetothe lackofothercareoptions.Withmany oftheseservicesaccepting

provincialcoverage,participantsalso sawthemasasolutiontothe challengestheyfacewhentryingto seekcare.

However,therewaswidespread acknowledgmentamongthe roundtableparticipantsthatprivate virtualclinicsmightnotbetheright solutiontoincreaseaccessto primarycare.Individualsturnto servicessuchasQDocduetothe needforurgentcareandthecurrent gapsinthepublicsystem.While manyappreciatedtheirbenefits,they acknowledgedthatvirtual-only clinicsarenoreplacementforquality, relationalprimarycare.Itwasnoted thattheprovinceshouldbuildonthe modelsofvirtualandafter-hours carewhilealsoworkingtoaddress issuesofhumanhealthresources andcomprehensiveprimarycare..

HoursofAvailability

Thelimitedhoursofprimarycare servicesemergedasasubstantial barrierforroundtableparticipants.A notableconcernwasthedifficulty manyindividualsfacedinscheduling appointmentsduringworkinghours, leadingtomissedappointmentsand subsequentpenalties.Geographic considerationscompoundedthis challenge,withservicescentralized

neardowntownWinnipeg,making accessibilityanissueforsome participants.Participantsshared thatlimitedtransitoptionsand difficultwinters,whichpotentially addhourstotheircommute,madeit difficulttoattendappointments duringclinichours.Additionally,the lackofafter-hoursoptionshas resultedinpeopleresortingto emergencyservicestoseekcare. Participantssharedexperiencesof havingtowaithoursinthe emergencydepartmentbecause theycouldn’tgetcareataclinic after7p.m.

Thediscussionhighlightedtheneed foramoreflexibleand accommodatingsystemthat addressesthediverseschedules andlocationsofindividualsseeking primarycare.Expandingthehoursof operationofclinicsandprimarycare providersisnecessarytomeetthe needsofnewcomercommunities.

HighlightingInternationalBest Practices

Theroundtablediscussionwasan opportunityforparticipantstospeak abouthealthcarepracticesintheir homecountries,andoffer suggestionsforhowtheCanadian healthcaresystemcouldimprove. Participantssharedinsightsfrom diverseregions,suchasthe24-hour callserviceinNigeriaandtheuseof auto-rosteringinUkraine, emphasizingthebenefitsofthese practices.Therewasastrong sentimentthatlearningfrom internationalbestpracticesand adaptingsuccessfulstrategiestothe Canadiancontextwouldhelp improveaccesstocare.Integrating insightsfromaroundtheworld, coupledwitheasingrestrictionson internationallytrainedprofessionals, emergedasacentralthemefor improvingtheCanadianhealthcare system.Theparticipantsenvisioneda collaborativeapproachthatdraws onglobalexperiencestoenhancethe effectivenessandinclusivityofthe localhealthcarelandscape.

Discrimination

Anoverarchingthemethroughout theroundtablediscussionwasthe pervasivenessofmultipleformsof discriminationthroughoutthehealth

caresystemandsocietymore broadly,andhowthisnegatively impactsparticipants’health. Specifically,participantsconveyed thatexperiencesofracismand xenophobiafromproviderswhen seekingcarecompoundunrelated matters,servingassignificant barrierstohealthcare.This discriminationbothdiscouragesand preventsnewcomersfromaccessing thecaretheyneedwhentheyneedit.

Racializedmembersofthe roundtablealsospokeaboutthelack ofdiversityofhealthcareprovidersto communitiesacrossCanada. Participantsemphasizedthat physiciansoftenprioritize mainstreammodelsofcareandare thereforeunableorunwillingto suggestalternativeresourcesor optionsthatareresponsivetotheir culturalneeds.Additionally, over-medicalizedapproachesto careareseenasinsensitivetothe culturalhealthcareapproaches valuedbymembersofthe community.Participantsexpressed thataholisticapproachtohealth thatencompassespsychosocial needs,ofteninherentinapproaches tocareinothercountries,wouldbe beneficialtotheircareneedsherein Canada.Equallyimportantto

participantsisthatanyhealthcare interventionstoimproveaccessto careconsidersocialdeterminantsof health,includingincome,race,and disability.

Uniquefactorsfacingnewcomers

Manyparticipantsarrivedinthe countrywiththeperceptionthatall essentialhealthcareservicesare fullycoveredinCanada.The misinformationregardingthecostof careandtreatmentinCanadawasa significantconcernsharedby participants.Thecostsassociated withfillingprescriptionsoraccessing emergencyserviceswereboth surprising,andthese,alongwith othercosts,representabarrierto healthyoutcomesfornewcomers. Unexpectedbillsforhealthcare servicescausefinancialstressand confusionamongthoseaffected.

Theexperiencessharedthroughout theengagementillustratetheurgent needforimprovedcommunication andeducationabouthealthcare coverageandcostsatallphasesof theimmigrationprocess.Thiswould ensurethatrefugeeclaimantsand newcomershavethenecessary informationtomakeinformed decisionsabouttheirhealthcare utilizationandfinances.

Asubjectdiscussedatlength throughoutthedaywasthe challengesthatlanguagebarriers posetoaccessingcare.Duetothe uniqueandpersonalnatureofhealth care,theabilitytocommunicate one’sneedseffectivelyisessential. Throughouttheday,members sharednegativeexperiencesinthe caretheyreceiveddueto miscommunicationbetweenpatients andcareprovidersora misunderstandingofpatientneeds.

Additionally,otherissues,including thelackofclarityontheinformation thatpatientsreceiveontheirhealth careoptions,notonlyimpactthe immediateindividualbutextendto theirconcernsforfamilymembers, especiallyiftheyarepartofa newcomercommunityandface languagebarriers.Several participantssharedexperiences adoptingvariousroles,including interpreter,navigator,andadvocate fortheirfamilymembers,evenintheir childhood,astheyassistedthemin navigatingthehealthcaresystem.

Participantsreportedacriticalneed forreadilyavailableandaccessible interpretationserviceswithinthe healthcaresystem.Theyalso

advocatedforspecializedtrainingfor interpreterstocommunicatehealth matterseffectively.

PortabilityofRecords

Oneparticipantemphasizedthe needtoreflectthesomewhat "transient"natureofnewcomers. WhileWinnipegisalanding destinationforsomenewcomers,itis nottheirpreferredcityoreven provincetoresidein.Theyspokeof theneedtoensurethathealth recordsareportable,abletomove seamlesslyfromprovinceto province.Thiscanhelpparticipants avoidlengthybureaucratic processesiftheydecidetomoveto anotherCanadianprovince.

Ideasforchange

1.Enhancetimelyaccesstoprimary carefornewcomersintheprovince throughthefollowingactions:

● Expandthenumberofcare professionalsintheprovince abletoprovideafterhoursand weekendservices;

○ Expandpubliclyfunded 24-hourhealthcare services,includingclinics, telehealth,andvirtual care;

● Fundadditionalclinicsand servicesinsuburbanandrural areas;

○ Createmobilecare clinicstoreach newcomersinnon-urban settings.

2.Reducefinancialbarriersthat inhibitaccesstocareandspecialized servicesthroughthefollowingactions

● Furtherexpandintegrated, team-basedmodelstoallow forgreateraccesstoother essentialcareandhealth professionals,e.g.dentists;

● Createandpromoteadditional financialaidprogramsfor thosewhoareunabletoafford theirprescriptionmedication;

● Reduceoreliminatethefeesfor ambulatorycareandother emergencyservicesfor newcomersandlow-income individuals;

● Encouragecareprovidersand systemsleaderstoprovide specializedprimaryhealthcare servicesforhomeless individuals;

● Expandinsuranceoptionsby creatingdedicatedstreamsfor newcomerstoensure continuedaccessto specializedservicessuchas dentalandvision.

3.Usetechnologicalinnovationsto “meetpeoplewherethey’reat” and creatediversepathwaystocare throughthefollowingactions:

● Expandandpromotepublicly fundedonlineandtelehealth optionssimilartoQDocs;

● Allowpatientstoaccesstheir ownhealthrecordsonline,and ensureseamlessportability betweenprovinces.

4.Promoteanddisseminate newcomer-specifichealthnavigation resourcesthroughthefollowing actions:

● Encourageexplicitsharingof healthcareresources,options, andcontactinformation(e.g. posters,websites,socialmedia accounts)atkeypointsof contactbetweenhealthcare professionalsandpatients;

● Promoteinformation-sharing andawarenessofnewcomer needsincommunityspaces (e.g.organizationsformigrant workers)andpublicspaces suchasmetroandbus stations,communitycentres, andairports.

5.sterasenseofaccountabilityand recourseinthehealthsectorthrough thefollowingactions:

● Ensuretherearepublic recoursemechanismsfor patientswhoexperience racismandmaltreatment whenaccessinghealth services.

Acknowledgments

TheOurCareprojectteamgratefullyacknowledgestheleadershipofour communitypartnersinthedevelopmentandhostingoftheElmwood CommunityRoundtable.Theprojectteamthanksthosewhovolunteered theirtimetoparticipateintheroundtableandworktowardsimprovingcare fortheircommunities.Theroundtablewasmadepossiblebythe contributionsof:

ElmwoodCommunityResourceCentre

Forover20years,ElmwoodCommunityResourceCentrehasworked tirelesslyandpassionatelytohelpfamiliesandindividualswhoneed supporttobuildabetterlifeandreceivethehelpinghandtheydeserve.The organizationassistswithnewcomertransitionsandprovidesmany resourcesandprogramsthatpromoteandguidethewell-beingof communitymembersinElmwood.

Foundedin2001bytheElmwoodInteragencyNetwork,Chalmers NeighbourhoodProject,andWestElmwoodResidentsAssociation,ECRCis runbyateamofdedicatedindividualswhoservetheneedsofElmwood's growingcommunitywiththehelpoftheirpartnersandfunders.

GuyaatuBoru,ZoneSettlementManager,ElmwoodCommunityResource Centre

JonathanWorae,ZoneSettlementWorkerandIntake,lmwoodCommunity ResourceCentre

GuestPresenter:PrimaryCare101

Dr.AlanKatz,FamilyPhysicianandHealthServicesResearcher,Winnipeg, MB;Professor,DepartmentsofFamilyMedicineandCommunityHealth Sciences,MaxRadyFacultyofHealthSciences,UniversityofManitoba

Dr.AlanKatzisaseniorresearcherattheManitobaCentreforHealthPolicy andprofessorinthedepartmentsofcommunityhealthsciencesandfamily medicine.HereceivedhismedicaltrainingattheUniversityofCapeTownin SouthAfrica.HeisthepreviousdirectorofMCHPandpastchairoftheHealth ResearchEthicsBoardintheMaxRadyCollegeofMedicine,RadyFacultyof HealthSciences.Hisresearchinterestsarefocusedonprimarycaredelivery, includingqualityofcareindicators,knowledgetranslationanddisease prevention.Heistheprincipalinvestigatororco-investigatorongrants totallingmorethan$10million.

GuestPresenter:OurCareManitobaPanelRecommendations

Dr.AmandaCondon,FamilyPhysician,NotreDamedeLourdes,MB; AssociateProfessor,DepartmentofFamilyMedicine,MaxRadyCollegeof Medicine,UniversityofManitoba.

Dr.CondonpractisescomprehensiveruralfamilymedicineinNotre DamedeLourdes,Manitoba.Shecontinuestopracticeintrapartum obstetricswiththeFamilyMedicineObstetricsgroupatSt.Boniface HospitalinWinnipeg.ShealsosupportsCharleswoodCareCentre,a long-termcarefacilityinWinnipeg.Inadditiontoherclinicalwork,Dr. CondonservesasanassociateprofessorwiththeDepartmentofFamily Medicine,MaxRadyCollegeofMedicine,atUofM.Withacommitmentto familymedicineeducationandsupportingmedicallearners,sheproudly championsjoyinworkandinterprofessionalcollaborationas foundationaltoexcellenceinprimarycare.Since2019shehasservedas AssociateDean,PostgraduateStudentAffairsandWellnessandhas recentlybecometheDirectorofImmunizationwiththeRadyFacultyof HealthSciences.

RoundtableTeam

TheOurCareRefugeeClaimantCommunityRoundtablewasdeveloped andmanagedbyMASSLBP.MASSisCanada'srecognizedleaderinthe designofdeliberativeprocessesthatbridgethedistancebetween citizens,stakeholders,andgovernment.Formorethanadecade,MASS hasbeendesigningandexecutinginnovativedeliberativeprocessesthat helpgovernmentsdevelopmoreeffectivepoliciesbyworkingtogether withtheirpartnersandcommunities.Findoutmoreatmasslbp.com.

OurCarePrincipalInvestigator

Dr.TaraKiran

Familyphysician,St.Michael'sHospitalAcademicFamilyHealthTeam; Scientist,MAPCentreforUrbanHealthSolutions,St.Michael'sHospital, UnityHealthToronto;FidaniChairofImprovementandInnovation, UniversityofToronto

OurCarePrimaryCareCo-LeadsforManitoba

Dr.MandyBuss

IndigenousHealthLeadforDepartmentofFamilyMedicineandUndergraduate MedicalEducationCourseDirector,IndigenousHealth,MaxRadyCollegeof Medicine,UniversityofManitoba

Dr.AmandaCondon

FamilyPhysician,NotreDamedeLourdes,MBAssociateProfessor,Departmentof FamilyMedicine,MaxRadyCollegeofMedicine,UniversityofManitoba

Dr.AlanKatz

FamilyPhysicianandHealthServicesResearcher,Winnipeg,MBProfessor, DepartmentsofFamilyMedicineandCommunityHealthSciences,MaxRady

FacultyofHealthSciences,UniversityofManitoba

ProjectDirector

JasminKay,MASSLBP

Moderator

ChimwemweAlao,MASSLBP

Facilitators

HildaDeSouza

GuyaatuBoru

JonathanWorae

CarolinaMoreno

Interpreters

AccessLanguagesServices

ReportIllustrator

MarijaMladenovic

AboutOurCare

OurCareisapan-Canadianconversationwitheverydaypeopleaboutthefuture ofprimarycare.TheprojectisledbyDr.TaraKiran,afamilydoctorand renownedprimarycareresearcherbasedinToronto.OurCarehasthreestages:

1. NationalResearchSurvey

ThesurveywasonlinefromSeptember20toOctober25,2022.Morethan 9,200Canadianscompletedthesurvey,sharingtheirperspectivesand experiences.VoxPopLabsco-designedandexecutedthesurvey.

2. PrioritiesPanels

PrioritiesPanelswereheldinfiveprovinces:NovaScotia,Quebec,Ontario, BritishColumbia,andManitoba.MASSLBPco-designedandexecutedthe panelswithOurCareadvisorsandlocaldeliverypartners.

3. CommunityRoundtables

Communityroundtableswerehostedineachofthefiveprovinces, focusingonhistoricallyexcludedgroupsthatwedidnothearenoughfrom duringstages1and2.MASSLBPco-designedandexecutedthe communityroundtableswithOurCareadvisorsandlocalcommunity organizations.

OurCareProjectPartners

OurCareisfundedby:

HealthCanada

HealthCanadaistheFederaldepartmentresponsibleforhelpingCanadians maintainandimprovetheirhealth,whilerespectingindividualchoicesand circumstances.Productionofthisdocumenthasbeenmadepossiblethrougha financialcontributionfromHealthCanada.Theviewsexpressedhereindonot necessarilyrepresenttheviewsofHealthCanada.

MaxBellFoundation

MaxBellFoundationbeganmakinggrantstoCanadiancharitiesin1972.Today, theFoundationsupportsinnovativeprojectsthataredesignedtoinformpublic policychangeinfourprogramareas:Education;Environment;Health&Wellness; andCivicEngagement&DemocraticInstitutions.TheFoundationalsodelivers thePublicPolicyTrainingInstitute,aprofessionaldevelopmentprogram designedtohelpparticipantsmoreeffectivelyengageinthepublicpolicy process,andPolicyForward,afuture-orientedspeakerseriesthatbringsthought leaderstogethertodiscusstheintersectionsofpolicy,technology,and innovation.

StaplesCanada—EventheOddsCampaign

StaplesandMAPhavecometogethertocreateEventheOdds:aninitiativeto raiseawarenessofinequityinCanadaandtohelpbuildvibrant,healthy communities.Thepartnershipisbasedonthesharedbeliefthateveryone shouldhavetheopportunitytothrive.EventheOddsfundsresearchand solutionstohelpmakethefuturefairforeveryone.Learnmoreat staples.ca/eventheodds.

OurCareSupporters

OurCareisbasedat:

MAPCentreforUrbanHealthSolutions

MAPCentreforUrbanSolutionsisaresearchcentrededicatedtocreatinga healthierfutureforall.Thecentrehasafocusonscientificexcellence,rapid scale-upandlongtermcommunitypartnershipstoimprovehealthandlivesin Canada.MAPisbasedatSt.Michael’sHospitalinToronto.

St.Michael’sHospital,UnityHealthToronto

St.Michael’sHospitalisaCatholicresearchandteachinghospitalindowntown Toronto.ThehospitalispartoftheUnityHealthTorontonetworkofhospitalsthat includesProvidenceHealthcareandSt.Joseph’sHealthCentre.

OurCareissupportedby:

DepartmentofFamily&CommunityMedicine,UniversityofToronto

TheUniversityofToronto’sDepartmentofFamily&CommunityMedicineisthe largestacademicdepartmentintheworldandhometotheWorldHealth OrganizationCollaboratingCentreonFamilyMedicineandPrimaryCare.

St.Michael’sFoundation

Establishedin1992,St.Michael'sFoundationmobilizespeople,businessesand foundationstosupportSt.Michael’sHospital’sworld-leadinghealthteamsin designingthebestcare–when,whereandhowpatientsneedit.Fundssupport state-of-the-artfacilities,equipmentneeds,andresearchandeducation initiatives.BecauseSt.Michael'sFoundationstopsatnothingtodeliverthecare experiencepatientsdeserve.

AdvisoryGroups

OurCareisguidedbyseveralnationalandprovincialadvisorygroups comprisingclinicalleaders,representativesfromprofessionalorganizations, researchers,healthsystemadministrators,andpatients.Theadvisorygroups havehelpedshapeeachphaseoftheinitiative.TheOurCareManitobaProvincial AdvisoryGroupprovidedinputintopopulationsoffocusforthetwocommunity roundtablesinManitobaandmembershelpedmakerelatedconnectionsto localcommunityorganizations.Afulllistofadvisorygroupmembersisavailable ontheOurCarewebsite.

TolearnmoreaboutOurCare,pleasevisitourcare.ca.

OurCareisfundedby

OurCareisbasedat OurCareissupportedby