Communication, Collaboration and Care Coordination: The Three-Point Guide to Cancer Care Provision for Aboriginal and Torres Strait Islander Australians

被引:13
作者
de Witt, Audra [1 ,2 ]
Matthews, Veronica [3 ]
Bailie, Ross [3 ]
Garvey, Gail [1 ]
Valery, Patricia C. [1 ,2 ]
Adams, Jon [4 ]
Martin, Jennifer H. [5 ,6 ]
Cunningham, Frances C. [1 ]
机构
[1] Charles Darwin Univ, Menzies Sch Hlth Res, Darwin, NT, Australia
[2] QIMR Berghofer Med Res Inst, Brisbane, Qld, Australia
[3] Univ Sydney, Univ Ctr Rural Hlth, Sydney, NSW, Australia
[4] Univ Technol Sydney, Fac Hlth, Sydney, NSW, Australia
[5] Univ Newcastle, Sch Med & Publ Hlth, Callaghan, NSW, Australia
[6] Univ Queensland, Southside Clin Sch, Brisbane, Qld, Australia
基金
英国医学研究理事会; 澳大利亚研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Indigenous people; cancer care coordination; integrated care; collaboration; communication; primary health care; HEALTH-CARE; BARRIERS; PERSPECTIVES; ENABLERS;
D O I
10.5334/ijic.5456
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Aim: To explore health professionals' perspectives on communication, continuity and between-service coordination for improving cancer care for Indigenous people in Queensland. Methods: Semi-structured interviews were conducted in a purposive sample of primary health care (PHC) services in Queensland with Indigenous and non-Indigenous health professionals who had experience caring for Indigenous cancer patients in the PHC and hospital setting. The World Health Organisation integrated people-centred health services framework was used to analyse the interview data. Results: Seventeen health staff from six Aboriginal Community Controlled Services and nine health professionals from one tertiary hospital participated in this study. PHC sites were in urban, regional and rural settings and the hospital was in a major city. Analysis of the data suggests that timely communication and information exchange, collaborative approaches, streamlined processes, flexible care delivery, and patient-centred care and support were crucial in improving the continuity and coordination of care between the PHC service and the treating hospital. Conclusion: Communication, collaboration and care coordination are integral in the provision of quality cancer care for Indigenous Australians. It is recommended that health policy and funding be designed to incorporate these aspects across
引用
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页码:1 / 16
页数:16
相关论文
共 63 条
[1]  
[Anonymous], 2016, OV IND DIS KEY IND 2
[2]  
[Anonymous], SUMMARY REV EVIDENCE
[3]  
[Anonymous], 2015, National Aboriginal and Torres Strait Islander Cancer Framework
[4]  
[Anonymous], 2016, Sixty-Ninth World Health Assembly, A69/39
[5]  
Australian Government Cancer Australia, 2018, OPT CAR PATHW AB TOR
[6]  
Australian Institute of Health and Welfare, 2019, 123 AIHW CAN
[7]  
Australian Institute of Health and Welfare, 2018, AUSTR HLTH 2018, DOI [10.21820/23987073.2018.2.80, DOI 10.21820/23987073.2018.2.80]
[8]   Culturally relevant "navigator" patient support - The native sisters [J].
Burhansstipanov, L ;
Wound, DB ;
Capelouto, N ;
Goldfarb, F ;
Harjo, L ;
Hatathlie, L ;
Vigil, G ;
White, M .
CANCER PRACTICE, 1998, 6 (03) :191-194
[9]   Coding In-depth Semistructured Interviews: Problems of Unitization and Intercoder Reliability and Agreement [J].
Campbell, John L. ;
Quincy, Charles ;
Osserman, Jordan ;
Pedersen, Ove K. .
SOCIOLOGICAL METHODS & RESEARCH, 2013, 42 (03) :294-320
[10]  
Cancer Australia, 2014, CANC AUSTR STRAT PLA