Sadhee sehayth (our health) project : health inequity in Canada’s universal healthcare system through the experiences of the Punjabi Sikh Diaspora living with cardiovascular disease
department or school: Graduate and Postdoctoral Studies
data provider: DSpace
degree campus: UBCV
creator: Kang, Harminder Bindy Kaur
issued: 2022-12-12T23:07:48Z
issued: 2022
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: The Sadhee Sehayth (Our Health) Project investigates how British Columbia’s health authorities support diversity, anti-racism and equity for patients and their families. I selected Post/Colonial, Critical Race and Feminist Theories to analyze the complex and pervasive ideologies that inform institutional structures. Using a Critical Ethnographic approach, I addressed the following research questions: 1. How are institutional diversity discourses and actions constructed, and how do they shape healthcare experience for racialized communities?; 2. How do institutional diversity discourses and actions shape experiences for one racialized diaspora community, the Punjabi Sikh Diaspora when seeking cardiovascular healthcare, and 3. what does this analysis tell us about how systemic structures are conceptualized and might be improved for healthcare delivery for racialized communities? Phase one examined the diversity commitments of health authorities through an analysis of mission statements, visions and values. The analysis revealed that health equity is not prioritized in the institutional statements for 7 of the 8 health authorities. The absence of these markers reaffirms that anti-racist ideologies are not conceptualized into the institutional identities of British Columbia’s healthcare delivery organizations. Phase 2 concentrated on the diversity practices of 4 health authorities. Diversity workers faced numerous obstacles including organizational resistance to maintaining diversity programming, negligible funding and minimal staffing. The most promising finding was the number of informal diversity workers who volunteered to act as diversity liaisons and educators. To gain a patient perspective, Phase 3 focused on Punjabi Sikh Diaspora patients who had experienced a myocardial infarction and recently discharged from a local hospital. Despite the availability of diversity, spiritual care, interpreter and cardiac rehabilitation programming, these participants were not as…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/83404
note: SADHEE SEHAYTH (OUR HEALTH) PROJECT HEALTH INEQUITY IN CANADA’S UNIVERSAL HEALTHCARE SYSTEM THROUGH THE EXPERIENCES OF THE PUNJABI SIKH DIASPORA LIVING WITH CARDIOVASCULAR DISEASE by Harminder Bindy Kaur Kang B.A., Simon Fraser University, 2002 M.A., Simon Fraser University, 2007 A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF PHILOSOPHY in The Faculty of Graduate and Postdoctoral Studies (Interdisciplinary Studies) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) December 2022 © Harminder Bindy Kaur Kang, 2022 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the dissertation entitled: Sadhee Sehayth (Our Health) Project: Health Inequity in Canada’s Universal Healthcare System through the Experiences of the Punjabi Sikh Diaspora Living with Cardiovascular Disease submitted by Harminder Bindy Kaur Kang in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Interdisciplinary Studies Examining Committee: Colleen Varcoe, Professor, Nursing, UBC Co-Supervisor Sunera Thobani, Professor, Asian Studies, UBC Co-Supervisor Minelle Mahtani, Associate Professor, Institute for Social Justice, UBC University Examiner Judith M. Lynam, Professor Emeritus, School of Nursing, UBC University Examiner Sheryl Reimer-Kirkham, Dean, School of Nursing, Trinity Western University Supervisory Committee Member iii Abstract The Sadhee Sehayth (Our Health) Project investigates how British Columbia’s health authorities support diversity, anti-racism and equity for patients and their families. I selected Post/Colonial, Critical Race and Feminist Theories to analyze the complex and pervasive ideologies that inform institutional structures. Using a Critical Ethnographic approach, I addressed the following research questions: 1. How are institutional diversity discourses and actions constructed, and how do they shape healthcare experie…
has type: Thesis/Dissertation
date issued: 2023-05
is shown at: 10.14288/1.0422495
language: eng
degree discipline: Interdisciplinary Studies
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Varcoe, Colleen, 1952-
contributor: Thobani, Sunera, 1957-
type: Text
identifier URI: http://hdl.handle.net/2429/83404