Taylor Kate P, Thompson Sandra C
Combined Universities Centre for Rural Health, University of Western Australia, Geraldton, WA 6531, Australia.
Aust Health Rev. 2011 Aug;35(3):297-308. doi: 10.1071/AH10936.
Although effective partnerships between Aboriginal and mainstream health services are critical to improve Aboriginal health outcomes, many factors can cause these partnerships to be tenuous and unproductive. Understanding the elements of best practice for successful partnerships is essential.
A literature review was conducted in 2009 using keyword searches of electronic databases. Sourced literature was assessed for relevance regarding the benefits, challenges, lessons learnt and factors contributing to successful Aboriginal and mainstream partnerships. Key themes were collated.
Although there is much literature regarding general partnerships generally, few specifically examine Aboriginal and mainstream health service partnerships. Twenty-four sources were reviewed in detail. Benefits include broadening service capacity and improving the cultural security of healthcare. Challenges include the legacy of Australia's colonial history, different approaches to servicing clients and resource limitations. Recommendations for success include workshopping tensions early, building trust and leadership.
Although successful partnerships are crucial to optimise Aboriginal health outcomes, failed collaborations risk inflaming sensitive Aboriginal-non-Aboriginal relationships. Factors supporting successful partnerships remind us to develop genuine, trusting relationships that are tangibly linked to the Aboriginal community. Failure to invest in this relational process and push forward with 'business as usual' can ultimately have negative ramifications on client outcomes.
尽管原住民与主流医疗服务机构之间建立有效的伙伴关系对于改善原住民的健康状况至关重要，但许多因素可能导致这些伙伴关系脆弱且低效。了解成功伙伴关系的最佳实践要素至关重要。
2009年通过电子数据库关键词搜索进行了文献综述。对来源文献评估其与原住民和主流机构成功伙伴关系的益处、挑战、经验教训及促成因素的相关性。整理关键主题。
虽然有很多关于一般伙伴关系的文献，但很少专门研究原住民与主流医疗服务机构的伙伴关系。详细审查了24份资料来源。益处包括扩大服务能力和改善医疗保健的文化安全性。挑战包括澳大利亚殖民历史的遗留问题、服务客户的不同方式以及资源限制。成功的建议包括尽早研讨紧张关系、建立信任和领导力。
尽管成功的伙伴关系对于优化原住民健康状况至关重要，但合作失败可能会加剧原住民与非原住民之间敏感的关系。支持成功伙伴关系的因素提醒我们要建立与原住民社区切实相关的真诚、信任的关系。未能在这一关系过程中投入并照旧行事最终可能会对客户结果产生负面影响。
