de Witt Audra, Matthews Veronica, Bailie Ross, Valery Patricia C, Adams Jon, Garvey Gail, Martin Jennifer H, Cunningham Frances C
Menzies School of Health Research, Brisbane QLD, Charles Darwin University, Darwin, NT, Australia.
QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Health Promot J Austr. 2022 Jul;33(3):701-710. doi: 10.1002/hpja.556. Epub 2021 Nov 18.
To identify points for improvements within the health system where Aboriginal and Torres Strait Islander cancer patients may experience a lack of continuity in their cancer care. The optimal care pathway for Aboriginal and Torres Strait Islander people with cancer (OCP) framework was utilised as a tool in this work.
Semi-structured interviews were conducted with health professionals at the primary health care (PHC) and hospital setting. Data were categorised into six steps using the OCP framework.
This study identified multiple time-points in the cancer pathways that could be strengthened to increase the continuity of cancer care for these patients. In addition, the provision of person-centred care and adequate education tailored to patients' and health professionals' needs can help minimise the likelihood of patients experiencing a lack of continuity in their cancer care. Participants were recruited from an urban hospital (n = 9) and from six Aboriginal Community Controlled Health Services (n = 17) across geographical locations in Queensland. The provision of culturally competent care, effective communication, coordination and collaboration between services along the cancer pathway from prevention and early diagnosis through to end-of-life care were highlighted as important to enhance care continuity for Indigenous Australians.
The implementation of recommendations outlined in the OCP framework may help with improving cancer care continuity for Indigenous patients with cancer.
Aboriginal and Torres Strait Islander people can sometimes find cancer care pathways complex and difficult to navigate. This study identified points in the cancer pathways that could be strengthened to increase the continuity of cancer care for these patients which could potentially lead to improved outcomes.
确定卫生系统中存在改进点的地方，在这些地方，原住民和托雷斯海峡岛民癌症患者的癌症护理可能缺乏连续性。本研究将原住民和托雷斯海峡岛民癌症患者的最佳护理路径（OCP）框架用作工具。
对初级卫生保健（PHC）机构和医院的卫生专业人员进行了半结构化访谈。使用OCP框架将数据分为六个步骤。
本研究确定了癌症治疗路径中的多个时间点，这些点可以得到加强，以提高这些患者癌症护理的连续性。此外，提供以患者为中心的护理以及根据患者和卫生专业人员的需求量身定制的充分教育，有助于将患者癌症护理缺乏连续性的可能性降至最低。参与者来自一家城市医院（n = 9）以及昆士兰州不同地理位置的六个原住民社区控制卫生服务机构（n = 17）。提供具有文化胜任力的护理、有效的沟通、癌症治疗路径中从预防和早期诊断到临终护理各服务之间的协调与合作，被强调为增强澳大利亚原住民护理连续性的重要因素。
实施OCP框架中概述的建议可能有助于改善原住民癌症患者的癌症护理连续性。
原住民和托雷斯海峡岛民有时会发现癌症护理路径复杂且难以遵循。本研究确定了癌症路径中可以加强的点，以提高这些患者癌症护理的连续性，这可能会带来更好的治疗结果。
