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Prioritising the cultural inclusivity of a rural mainstream health service for First Nation Australians

An Analysis of Discourse and Power

Bibliographic Data

ID3638682
AuthorsChristina Malatzky (0000-0002-9078-9601, The University of Melbourne, corresponding author), Raelene Nixon (The University of Melbourne), Olivia Mitchell (0000-0001-8558-7311, The University of Melbourne), Lisa Bourke (0000-0003-0411-6193, The University of Melbourne)
Year2018
Volume27
Issue3
Pages248-262
Publication date2018-09-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Sociology Review (JOURNAL)
Journal identifiersISSN: 1446-1242 • E-ISSN: 1839-3551
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14461242.2018.1474720
OpenAlexW2803191138
LanguageEN
Citations received4
References cited43

In the context of persisting health inequities within many multicultural and socially diverse countries like Australia, there is a call for health services to implement culturally inclusive systems and practices. Nowhere is this more important than in regional, rural and remote Australia where consumers are diverse, health services are scarce, and services designed for particular groups of the population are lacking. Drawing on interviews with 20 staff of a rurally-based, mainstream community health service, this article examines the role of discourse in the transition to a culturally inclusive health centre. In doing so, the power struggles inherent in such a process are highlighted. The article contends that improvements in the health outcomes of First Nation and culturally Other groups within the Australian population is contingent upon systematic resistances that disrupt and re-arrange existing dominant discourses. This calls for a disruption of current race relations in both broader social fields as well as those supporting biomedical assumptions about the delivery of healthcare in the mainstream health sector. Alternative discourses must be promoted in both these fields

Health care · Health equity · Mainstream · Multiculturalism · Pedagogy · Political science · Population · Population health · Project commissioning · Public relations · Publishing · Sociology · Gender Studies · Global Health and Surgery · Global Health Workforce Issues · Indigenous Health, Education, and Rights

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Unique citing works4
Citations per year0,5
Citation span2018 - 2022 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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