Building patient trust in health systems
A qualitative study of facework in the context of the Aboriginal and Torres Strait Islander Health Worker role in Queensland, Australia
Dados Bibliográficos
| ID | 4588352 |
|---|---|
| Autores | Stephanie M Topp (0000-0002-3448-7983, James Cook University, autor correspondente), Josslyn Tully, Rachel Cummins (James Cook University), Victor Graham (0000-0001-5082-2764, James Cook University), Veronica Graham, Aryati Yashadhana (0000-0003-2573-8637, UNSW Sydney), Lana Elliott (0000-0003-0228-6957, James Cook University), Sean Taylor (0000-0002-5031-3588, Menzies School of Health Research) |
| Ano | 2022 |
| Volume | 302 |
| Páginas | 114984 |
| Data de publicação | 2022-06-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Social Science & Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editora | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2022.114984 |
| PMID | 35523107 |
| OpenAlex | W4229332215 |
| Idioma | EN |
| Citações recebidas | 11 |
| Referências citadas | 39 |
Healthcare services in Australia are the primary responsibility of state and territory governments, which recruit and deploy health providers in hospital and primary-care services. Among the various health professional roles, that of Aboriginal and Torres Strait Islander Health Worker (A&TSIHW) is one of only two positions that must be occupied by an Aboriginal and/or Torres Strait Islander person, carrying unique responsibility for enacting cultural brokerage and promoting cultural safety at the facility-level. Implicit to these responsibilities is the assumption that A&TSIHW will use cultural capital to build clients' trust in themselves and ultimately the broader health system. Drawing on 82 in-depth interviews including 52 with A&TSIHWs, we applied Kroegar's Facework theory to explore the structures, processes and relationships that contribute to, or inhibit, A&TISHWs' capacity and willingness to build trust (beyond themselves) in government health services in Queensland, Australia. Analysis demonstrates that despite A&TSIHWs viewing and enacting interpersonal trust-building as central to their role, structural features of the health system inhibit the development of service-users' system-level trust. Findings re-establish that health systems are not 'cultureless,' but rather, shaped by a dominant culture that privileges certain actors, types of knowledge, and modes of communication and action, which in turn influence efforts to build trust. The study demonstrates a novel theory-driven approach to exploring the interactions between behavioural and structural factors that influence the production of systems-level trust. In the context of the Queensland public health service findings highlight a disconnect between the expectations of, and support provided to A&TISHWs to engage Aboriginal and Torres Strait Islander service-users
Business · Context (archaeology · Geography · Government (linguistics · Health care · Interpersonal communication · Political science · Public relations · Qualitative research · Sociology · Community Health and Development · Indigenous Health, Education, and Rights · Language, Discourse, Communication Strategies · Medicine · Nursing · Psychology · Social Psychology
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| Obras citantes distintas | 11 |
|---|---|
| Citações por ano | 2,75 |
| Intervalo de citações | 2022 - 2026 (5) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 10 |