How systemic racism results in poorer outcomes for First Nations, and what First Nations are doing about it: the example of kidney health

Our results show that addressing the rise in premature mortality experienced by First Nations from kidney diseases require greater investments in First Nations-centric primary healthcare, that is locally managed. Additionally, off-reserve primary healthcare services must be alerted to their need to better address the needs of First Nations at risk of CKD, with more consistent follow up, referrals, and in providing culturally safe care. Finally, First Nations-led research in kidney health and primary healthcare is leading to significant improvements in outcomes, and needs to be better supported and resourced, and imbedded in a context of greater investments to improve access to all determinants of health and counter systemic racism.