You Can’t Work with My People If You Don’t Know How to”
Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
Bibliographic Data
| ID | 15512509 |
|---|---|
| Authors | Ilse Blignault (0000-0002-7164-2217, Translational Research Institute, corresponding author), Liz Norsa (0000-0001-6172-5732, Translational Research Institute), Raylene Blackburn (South Western Sydney Local Health District), George Bloomfield (South Western Sydney Local Health District), Karen Beetson (South Western Sydney Local Health District), Bin Jalaludin (0000-0001-7664-9621, UNSW Sydney), Nathan Jones (0000-0003-1159-1558, South Western Sydney Local Health District) |
| Year | 2021 |
| Volume | 18 |
| Issue | 14 |
| Pages | 7233-7233 |
| Publication date | 2021-07-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18147233 |
| PMID | 34299688 |
| OpenAlex | W3180520384 |
| Language | EN |
| Citations received | 1 |
| References cited | 29 |
Indigenous Australians experience significantly poorer health compared to other Australians, with chronic disease contributing to two-thirds of the health gap. We report on an evaluation of an innovative model that leverages mainstream and Aboriginal health resources to enable safe, supported transfer of care for Aboriginal adults with chronic conditions leaving hospital. The multisite evaluation was Aboriginal-led and underpinned by the principles of self-determination and equity and Indigenous research protocols. The qualitative study documented processes and captured service user and provider experiences. We found benefits for patients and their families, the hospital and the health system. The new model enhanced the patient journey and trust in the health service and was a source of staff satisfaction. Challenges included staff availability, patient identification and complexity and the broader issue of cultural safety. Critical success factors included strong governance with joint cultural and clinical leadership and enduring relationships and partnerships at the service delivery, organisation and system levels. A holistic model of care, bringing together cultural and clinical expertise and partnering with Indigenous community organisations, can enhance care coordination and safety across the hospital-community interface. It is important to consider context as well as specific program elements in design, implementation and evaluation
Business · Context (archaeology · Cultural competence · Cultural safety · Equity (law · Health care · Indigenous · Mainstream · Political science · Public relations · Service (business · Service delivery framework · Health Policy Implementation Science · Indigenous Health, Education, and Rights · Medicine · Nursing · Primary Care and Health Outcomes · Psychology · Marketing
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| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |