Addressing cultural diversity
The hepatitis B clinical specialist perspective
Datos Bibliográficos
Objectives: Hepatitis B is a viral infection primarily affecting people from culturally diverse communities in Australia. While vaccination prevents infection, there is increasing mortality resulting from liver damage associated with chronic infection. Deficits in the national policy and clinical response to hepatitis B result in a low diagnosis rate, inadequate testing and diagnosis processes, and poor access to hepatitis B treatment services. While research identifies inadequate hepatitis B knowledge among people with the virus and primary health care workers, this project sought to identify how specialist clinicians in Australia negotiate cultural diversity, and provide often complex clinical information to people with hepatitis B. Design: A vignette was developed and presented to thirteen viral hepatitis specialist clinicians prior to an electronically recorded interview. Recruitment continued until saturation of themes was reached. Data were thematically coded into themes outlined in the interview schedule. Ethical approval for the research was provided by the La Trobe University Human Research Ethics Committee. Results: Key messages provided to patients with hepatitis B by clinical specialists were identified. These messages were not consistently provided to all patients with hepatitis B, but were determined on perceptions of patient knowledge, age and highest educational level. While the vignette stated that English was not an issue for the patient, most specialists identified the need for an interpreter. Combating stigma related to hepatitis B was seen as important by the specialists and this was done through normalising the virus. Having an awareness of different cultural understandings about hepatitis B specifically, and health and well-being generally, was noted as a communication strategy. Conclusion: Key core competencies need to be developed to deliver educational messages to people with hepatitis B within clinical encounters. The provision of adequate resources to specialist clinics will assist in addressing gaps in the clinical response to hepatitis B
Family medicine · Hepatitis B · Hepatitis C · Psychiatry · Stigma (botany · Vignette · Hepatitis B Virus Studies · Hepatitis C virus research · Hepatitis Viruses Studies and Epidemiology · Medicine · Psychology · Immunology
Estimations of worldwide prevalence of chronic hepatitis B virus infection
Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010
Hepatitis B knowledge, perceptions and practices in the French general population
Only your blood can tell the story” – a qualitative research study using semi- structured interviews to explore the hepatitis B related knowledge, perceptions and experiences of remote dwelling Indigenous Australians and their health care providers in northern Australia
Hepatitis B and liver cancer knowledge and practices among healthcare and public health professionals in China
| Obras citantes distintas | 2 |
|---|---|
| Citas por año | 0,29 |
| Intervalo de citas | 2019 - 2022 (4) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 2 |