Smith Kay, Grundy John J, Nelson Harry J
Yuendumu Old People's Programme, Northern Territory, Australia.
Rural Remote Health. 2010 Oct-Dec;10(4):1422. Epub 2010 Oct 26.
Yuendumu is a Warlpiri Aboriginal community 300 km north west of Alice Springs in Central Australia. Since emerging from the welfare period in the early 1970s, a range of services have evolved with the aim of developing a comprehensive community based aged care service. In 2000 Mampu Maninja-kurlangu Jarlu Patu-ku Aboriginal Corporation (Yuendumu Old Peoples Programme; YOPP) commenced operation to manage the developing services. This case study aims to describe, from the analytic standpoint of community control and cultural comfort, the main features of the 'Family Model of Care', which underpins the operations of the service and YOPP management processes.
Data were mostly generated from participant observation by the authors in the development and management of YOPP between 1993 and 2009. A literature review of Indigenous history and public health in Central Australia was also undertaken, which was supplemented by a review of Programme documentation, including evaluations, needs assessments and annual reports.
The design and operations of YOPP are embodied in a documented 'Family Model of Care' which provides important lessons for the provision of aged care in a cross-cultural context. According to the concepts 'community control' and 'cultural comfort' outlined in this article, mainstream services can function in a complementary and supportive manner with professional services being accountable and responsive to a local management system that is governed by the structures and norms of community tradition.
The notions of 'cultural comfort' and 'community control' as operating principles have enabled YOPP to continue under the management of local people, sustain core cultural strengths and values, and meet the needs for increased quality of care for the aged in Yuendumu. This model of care emphasizes and recognizes paradigms of mutual competence between traditional and mainstream human service culture, and offers important lessons for improvement to the quality of aged care in remote Indigenous communities in Australia and elsewhere.
延杜穆是一个瓦尔皮里原住民社区，位于澳大利亚中部爱丽丝泉西北300公里处。自20世纪70年代初摆脱福利时期以来，一系列服务不断发展，旨在建立一个全面的社区养老服务体系。2000年，曼普·马尼尼亚-库尔兰古·贾尔卢·帕图-库原住民公司（延杜穆老年人项目；YOPP）开始运营，负责管理不断发展的服务。本案例研究旨在从社区控制和文化舒适度的分析角度，描述支撑该服务运营及YOPP管理流程的“家庭护理模式 ”的主要特征。
数据主要来自作者在1993年至2009年期间对YOPP发展和管理的参与观察。还对澳大利亚中部的原住民历史和公共卫生进行了文献综述，并辅以对项目文件的审查，包括评估、需求评估和年度报告。
YOPP的设计和运营体现在一份记录在案的“家庭护理模式”中，该模式为跨文化背景下的养老服务提供了重要经验教训。根据本文概述的“社区控制”和“文化舒适度”概念，主流服务可以以互补和支持的方式发挥作用，专业服务对由社区传统结构和规范管理的地方管理系统负责并做出响应。
“文化舒适度”和“社区控制”作为运营原则，使YOPP能够在当地人的管理下继续运营，保持核心文化优势和价值观，并满足延杜穆老年人对提高护理质量的需求。这种护理模式强调并认可传统和主流人类服务文化之间的相互能力范式，并为改善澳大利亚及其他地区偏远原住民社区的养老服务质量提供了重要经验教训。
