15-Jan-2019 8:30 PM - 9:30 PM
On Tuesday, January 15 at 8:30 p.m., ET / 5:30 p.m., PT - Paul Gallant discusses inequalities in access to healthcare for underserved populations

We have partnered with Colin Hung, co-founder of the healthcare leader community #HCLDR, to deliver this tweetchat inspired by the January edition of Healthcare Management Forum.

Paul Gallant, CHE is an advocate who consulted with the Nisga’a Nation and with the Namgis First Nation as part of a multi-agency initiative with physicians. He is also Guest Editor of this special edition.

Details including a background, topics, recommended reading and instructions can be found below.



There is a lot of diversity within Canada’s Indigenous Peoples (Inuit, Metis and First Nations). Their health status, living situation on and off reserve, territory, political structure and viewpoints, family structure, food sources, employment, income, education, diet, use of traditional medicines, healing practices, spirituality, education, health and wellness services, strengths, outlook on life and other characteristics, are not homogenous. What they do have in common, is hundreds of years of colonization against their will which has led to miscommunication, misunderstanding, mistrust and racism, all which have deeply affected their contemporary and serious health struggles.

And this history of colonialism is shared by countries all over the world, creating vast populations of people who do not trust western-based health models and remain at risk for illness and early death.

So the question remains, how do we ensure that these populations can access the care they need? Paul Gallant joins us to share the lessons he has learned and to help health leaders understand how they can make changes in their own environments.


  1. How can we improve health literacy for people who do not have adequate access to healthcare?
  2. One suggestion is to position health centres and hospitals as places of wellness and shift the focus away from sickness (for example, health workers are promoted as community health agents). What initiatives have worked in your area?
  3. Geography can limit healthcare access. In 2018, 63 million people live in a rural area in North America. Can we take any best practices or lessons learned from working with some Indigenous Peoples living remotely that can be transferred to rural populations?
  4. How can health leaders remove bias and ensure that the system provides safe care for everyone who needs it?

Recommended reading before the tweetchat

Indigenous approaches to health and wellness leadership: A BC First Nations perspective
- Joe Gallagher

Healthcare Management Forum - January 2019

The January edition of Healthcare Management Forum (HMF), with Guest Editor Paul Gallant, is dedicated entirely to Indigenous health and written by Indigenous writers. Indigenous health status in Canada is deteriorating. The authors discuss frameworks for change, models of community-led health transformation, and immediate strategies for health leaders to address Indigenous health gaps, improve cultural safety and work towards reconciliation. Members can access this edition by logging into the College web site.

Not a member, for subscription information click here.

Healthcare Leadership Blog (#hcldr): Addressing inequalities in access to healthcare for underserved populations

Participation instructions
  1. Open a Twitter account if you don’t already have one.
  2. Go to twubs.com or tweetchat.com.
  3. Enter the #HCLDR in the box that says “Enter a hashtag” and press Enter.
  4. Sign-in to participate in the chat. (Note: the hashtag #HCLDR will automatically be added to your tweets.)
  5. Review the topics.
  6. Be on-line at 8:30pm EDT (for your local time click here) on January 15.
  7. Chat!