Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, North Ryde, NSW, 2109, Australia.
Infant, Child and Adolescent Mental Health Services, Liverpool Hospital, Liverpool, NSW, Australia.
BMC Res Notes. 2021 Aug 9;14(1):304. doi: 10.1186/s13104-021-05724-3.
There have been few descriptions of how outpatient cancer care is provided to patients from culturally and linguistically diverse (CALD) communities. As populations who experience disparities in cancer care access and outcomes, deeper understanding is needed to help identify those factors which can shape the receipt of multidisciplinary care in ambulatory settings. This paper reports on data collected and analysed as part of a multicentre characterisation of care in Australian public hospital cancer outpatient clinics (OPCs).
Analysis of data from our ethnographic study of four OPCs identified three themes: "Identifying CALD patient language-related needs"; "Capacity and resources to meet CALD patient needs", and "Making it work for CALD communities." The care team comprises not only clinicians but also families and non-clinical staff; OPCs serve as "touchpoints" facilitating access to a range of therapeutic services. The findings highlight the potential challenges oncology professionals negotiate in providing care to CALD communities and the ways in which clinicians adapt their practices, formulate strategies and use available resources to support care delivery.
针对来自文化和语言多样化（CALD）社区的患者，门诊癌症护理的提供方式鲜有描述。作为在癌症护理的可及性和结果方面存在差异的人群，需要更深入的了解，以帮助确定那些可以影响多学科团队在门诊环境中提供护理的因素。本文报告了作为澳大利亚公立医院癌症门诊诊所（OPC）多中心特征描述的一部分所收集和分析的数据。
对我们在四个 OPC 进行的人种学研究数据的分析确定了三个主题：“确定 CALD 患者语言相关需求”、“满足 CALD 患者需求的能力和资源”以及“为 CALD 社区服务”。护理团队不仅包括临床医生，还包括患者家属和非临床人员；OPC 充当“接触点”，便于患者获得一系列治疗服务。研究结果突出了肿瘤学专业人员在为 CALD 社区提供护理时需要应对的潜在挑战，以及临床医生调整其做法、制定策略和利用现有资源来支持护理提供的方式。
