Considering difference: clinician insights into providing equal and equitable burns care for Aboriginal and Torres Strait Islander children
Autor: | Ngara Keeler, Kathleen F Clapham, Rebecca Ivers, Dale W. Edgar, Sarah Fraser, Warwick J. Teague, Kurt Towers, Kate Hunter, Tamara Mackean, Julian Grant |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander 030309 nutrition & dietetics Cultural safety Health Status Indigenous Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Nursing Reflexivity Health care medicine Health Services Indigenous Humans cultural safety 030212 general & internal medicine Sociology Cultural Competency Healthcare Disparities Child Health policy Quality of Health Care health equity Aboriginal and Torres Strait Islander 0303 health sciences Health Services Needs and Demand Equity (economics) business.industry Public health burn care Public Health Environmental and Occupational Health Australia Culturally Competent Care Health equity Public aspects of medicine RA1-1270 business Burns |
Zdroj: | Australian and New Zealand Journal of Public Health, Vol 45, Iss 3, Pp 220-226 (2021) |
ISSN: | 1326-0200 1753-6405 |
Popis: | Objective: To better understand issues driving quality in burn care related to equity of outcomes and equality of provision for Aboriginal and Torres Strait Islander children. Methods: Seventy‐six interviews with team members who provide care for Aboriginal and Torres Strait Islander children in six paediatric burn units across five Australian jurisdictions were completed. Interface research methodology within a qualitative design guided data collection and analysis. Results: Three themes were identified: i) Burn team members who identify the requirement to meet the specific needs of Aboriginal and Torres Strait Islander children and deliver differential care; ii) Burn team members who believe in equal care, but deliver differential care based on the specific needs of Aboriginal and Torres Strait Islander children; and iii) Burn team members who see little need for provision of differential care for Aboriginal and Torres Strait Islander children and rather, value the provision of equal care for all. Conclusion: Burn team members conflate equitable and equal care, which has implications for the delivery of care for Aboriginal and Torres Strait Islander children. Equitable care is needed to address disparities in post‐burn outcomes, and this requires clinicians, healthcare services and relevant system structures to work coherently and intentionally to reflect these needs. Implications for public health: Changes in health policy, the embedding of Aboriginal and Torres Strait Islander liaison officers in burn care teams and systems that prioritise critical reflexive practice are fundamental to improving care. |
Databáze: | OpenAIRE |
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