de Witt Audra, Cunningham Frances C, Bailie Ross, Percival Nikki, Adams Jon, Valery Patricia C
Menzies School of Health Research, Brisbane, QLD, Australia.
Division of Epidemiology and Health Systems, Centre for Primary Health Care Systems, Charles Darwin University, Darwin, NT, Australia.
Front Public Health. 2018 Dec 18;6:344. doi: 10.3389/fpubh.2018.00344. eCollection 2018.
The aim of this research was to explore health professionals' perspectives on the provision of follow-up cancer care for Aboriginal and Torres Strait Islander patients in Queensland. Semi-structured interviews were conducted with Indigenous and non-Indigenous health professionals who had experience providing care for Indigenous cancer patients in the primary health care and hospital setting. Participants were recruited from six Aboriginal Community Controlled Health Services ( = 17) and from a tertiary hospital ( = 9) across urban, regional, and remote geographical settings. Culturally safe care, psychological support, determining patient needs, practical assistance, and advocating for Indigenous health were identified as enablers to support the needs of Indigenous patients when accessing cancer care, and Indigenous health professionals were identified as the key enabler. Indigenous health professionals significantly contribute to the provision of culturally competent follow-up cancer care by increasing the accessibility of follow-up cancer care services and by supporting the needs of Indigenous cancer patients. All health professionals need to work together and be sufficiently skilled in the delivery of culturally competent care to improve the Indigenous cancer journey and outcomes for Indigenous people. Effective organizational policies and practices are crucial to enable all health professionals to provide culturally competent and responsive cancer care to Indigenous Australians.
本研究的目的是探讨卫生专业人员对昆士兰州原住民和托雷斯海峡岛民癌症患者后续护理服务提供情况的看法。对在初级卫生保健和医院环境中为原住民癌症患者提供护理的原住民和非原住民卫生专业人员进行了半结构化访谈。参与者来自六个原住民社区控制卫生服务机构（n = 17）和一家三级医院（n = 9），涵盖城市、地区和偏远地理区域。文化安全护理、心理支持、确定患者需求、实际援助以及倡导原住民健康被确定为在原住民患者接受癌症护理时支持其需求的促进因素，而原住民卫生专业人员被确定为关键促进因素。原住民卫生专业人员通过增加后续癌症护理服务的可及性以及支持原住民癌症患者的需求，为提供具有文化胜任力的后续癌症护理做出了重大贡献。所有卫生专业人员需要共同努力，并在提供具有文化胜任力的护理方面具备足够技能，以改善原住民的癌症治疗过程和治疗结果。有效的组织政策和实践对于使所有卫生专业人员能够为澳大利亚原住民提供具有文化胜任力且反应灵敏的癌症护理至关重要。
