A new commentary encourages the collection of information on race and Indigenous identity across Canada during health card renewal to help address inequities in health care.
While race is not biologically grounded, but socially constructed, it is important to acknowledge that racism exists in the Canadian health system, and that patients may be treated differently based on their racial or Indigenous identity, said Pinto. In Canada, however, health systems do not collect data on racial disparities in healthcare systematically.
Data collection is a first step toward these goals, but the actions that follow are essential, said Pinto. Rather than simply changing a form, he said, it's important to engage communities in interpreting the data to spur progress. Ensuring that communities are in control of the data and engaged in the interpretation is a key consideration, according to Pinto. Data governance is a particularly salient concern for Indigenous communities, for whom it's important to maintain sovereignty of their health systems. In the northwest, some data collection has already begun with programs like one led by the Institute for Clinical Evaluative Sciences , a health administrative program in Ontario.
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