Medical School, University of Western Australia.
Poche Centre for Indigenous Health, University of Western Australia.
Aust N Z J Public Health. 2020 Apr;44(2):95-101. doi: 10.1111/1753-6405.12974. Epub 2020 Feb 26.
To explore caregiver perspectives of their children's journey through the specialist paediatric service, the Aboriginal Ambulatory Care Coordination Program (AACC), and non-AACC services at the Perth Children's Hospital.
Eighteen semi-structured interviews with families of Aboriginal children were completed. Indigenous research methodology and a phenomenological approach guided data collection and analysis.
Four key themes were identified from interviews: hospital admissions, discharge and follow-up outpatient appointments; communication; financial burden; and cultural issues. Our findings suggest Aboriginal children and their caregivers using the AACC program had more positive and culturally secure experiences than those using non-AACC services. However, barriers relating to health providers' understanding of Aboriginal cultural issues and lived experience were commonly discussed, regardless of which service families received.
Australian Aboriginal children have an increased use of tertiary hospital care compared to non-Indigenous children. Healthcare programs specifically designed for Aboriginal children and their families can improve their experience of care in hospital. However, improvements in cultural awareness for other hospital staff is still needed. Implications for public health: Dedicated Aboriginal programs in mainstream services can successfully improve cultural care to their clients, which is fundamental to improving service delivery for families.
探索照顾者对其子女通过专科儿科服务（Aboriginal Ambulatory Care Coordination Program，AACC）以及珀斯儿童医院非 AACC 服务的旅程的看法。
对 18 名原住民儿童家庭进行了 18 次半结构化访谈。采用原住民研究方法和现象学方法指导数据收集和分析。
访谈中确定了四个关键主题：住院、出院和后续门诊预约；沟通；经济负担；以及文化问题。我们的研究结果表明，使用 AACC 计划的原住民儿童及其照顾者比使用非 AACC 服务的儿童及其照顾者有更积极和更具文化保障性的体验。然而，无论家庭接受哪种服务，都经常讨论与医疗服务提供者对原住民文化问题和生活经历的理解相关的障碍。
与非原住民儿童相比，澳大利亚原住民儿童更频繁地使用三级医院护理。专为原住民儿童及其家庭设计的医疗保健计划可以改善他们在医院的护理体验。然而，仍需要提高其他医院工作人员的文化意识。
主流服务中的专门原住民计划可以成功改善对其服务对象的文化关怀，这对改善家庭服务提供至关重要。
