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将文化因素和发育筛查纳入澳大利亚原住民儿童健康检查。

Integrating cultural considerations and developmental screening into an Australian First Nations child health check.

机构信息

Child Health Research Centre, University of Queensland, 62 Graham Street, Brisbane, Qld 4101, Australia.

Gidgee Healing, Mount Isa, Qld, Australia.

出版信息

Aust J Prim Health. 2022 Jun;28(3):207-214. doi: 10.1071/PY20300.

Abstract

The aim of the present study was to integrate cultural considerations and developmental screening into a First Nations child health check. The 'Share and Care Check,' an optimised child health check, was co-designed with a remote Aboriginal Community Controlled Health Organisation and led by Aboriginal Health Practitioners/Workers. Of 55 families who completed the Share and Care Check, the majority of participants indicated that their family/child was connected with their tribe and country. However, half of the caregivers reported that they or their child would like to know more about their tribe. The most common developmental screening outcome was no functional concerns (32.7%), followed by having one area identified as a functional concern (24.5%) and two functional concerns (16.3%). All caregivers reported that the Share and Care Check was culturally appropriate, and the majority also reported that it was helpful. Data obtained from questions regarding cultural and developmental aspects of health can assist health providers regarding the best pathway of support for a child and their family. This could ultimately contribute to closing the gap through the provision of holistic culturally appropriate services.

摘要

本研究旨在将文化因素和发展筛查融入到第一民族儿童健康检查中。“分享与关怀检查”(Share and Care Check)是一种优化的儿童健康检查,与一个偏远的原住民社区控制的医疗组织共同设计,并由原住民健康从业者/工作人员主导。在完成“分享与关怀检查”的 55 个家庭中,大多数参与者表示他们的家庭/孩子与他们的部落和国家有联系。然而,一半的照顾者表示他们或他们的孩子希望更多地了解他们的部落。最常见的发展筛查结果是没有功能问题(32.7%),其次是有一个功能问题(24.5%)和两个功能问题(16.3%)。所有的照顾者都表示“分享与关怀检查”是文化上合适的,大多数人还表示它很有帮助。从有关健康的文化和发展方面的问题中获得的数据可以帮助医疗服务提供者了解为孩子及其家庭提供支持的最佳途径。这最终可以通过提供整体的、文化上合适的服务来缩小差距。

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