Meiklejohn J A, Adams J, Valery P C, Walpole E T, Martin J H, Williams H M, Garvey G
Cancer Epidemiology, Menzies School of Health Research, Brisbane, Qld.
Cancer & Chronic Disease Research Group, QIMR Berghofer Medical Research Institute, Royal Brisbane Hospital, Brisbane, Brisbane, Qld.
Eur J Cancer Care (Engl). 2016 Mar;25(2):254-61. doi: 10.1111/ecc.12467.
To investigate health professionals' perspectives about factors that impede or facilitate cancer care for Indigenous people. Semi-structured interviews with 22 health professionals involved in Indigenous cancer care. Data were interpreted using an inductive thematic analysis approach. Participants presented their perspectives on a number of barriers and enablers to Indigenous cancer care. Barriers were related to challenges with communication, the health system and coordination of care, issues around individual and community priorities and views of cancer treatment and health professional judgement. Enablers to cancer care were related to the importance of trust and rapport as well as health care system and support factors. The findings highlighted the need for recording of Indigenous status in medical records and a coordinated approach to the provision of evidence-based and culturally appropriate cancer care. This could go some way to improving Indigenous patient's engagement with tertiary cancer care services.
调查卫生专业人员对阻碍或促进原住民癌症护理的因素的看法。对22名参与原住民癌症护理的卫生专业人员进行了半结构化访谈。采用归纳主题分析法对数据进行解读。参与者就原住民癌症护理的一些障碍和促进因素发表了看法。障碍涉及沟通、卫生系统和护理协调方面的挑战，个人和社区优先事项以及癌症治疗观点和卫生专业人员判断等问题。癌症护理的促进因素与信任和融洽关系的重要性以及卫生保健系统和支持因素有关。研究结果强调了在病历中记录原住民身份的必要性，以及提供基于证据且符合文化习俗的癌症护理的协调方法。这在一定程度上有助于提高原住民患者对三级癌症护理服务的参与度。
