Tamwoy Nathaniel, Rosas Sylvia, Davis Scott, Farthing Annie, Houghton Caitlin, Johnston Hannah, Maloney Catherine, Samulkiewicz Nicole, Seaton Jack, Tuxworth Gemma, Bat Melodie
AFL Cape York House for Boys, Cairns, Qld, Australia.
SARRAH, Barton, ACT, Australia.
Aust J Rural Health. 2022 Dec;30(6):816-822. doi: 10.1111/ajr.12918. Epub 2022 Aug 29.
This paper explores the principles of co-design with Aboriginal and Torres Strait Islander communities by reflecting on the literature, learning from experiences of allied health professionals, and considering how co-design can be applied in rural and remote allied health practice.
This paper has been authored by a working group from Services for Rural and Remote Allied Health (SARRAH). SARRAH is a member-based allied health organisation, working to improve health outcomes for rural and remote Australians. SARRAH has been representing and supporting allied health professionals in rural and remote Australia for over 20 years, with a member base that includes students, practitioners, programme managers, policy makers and academics. As a non-Indigenous organisation, SARRAH works in partnership and receives guidance from the peak organisation, Indigenous Allied Health Australia (IAHA).
Over a period of 3 months, a group of eleven SARRAH members and staff came together to review available literature, seek member perspectives and share their experiences and understandings of co-design. Working group discussions were grounded in the knowledge and experiences shared by two Aboriginal and Torres Strait Islander group members.
This paper proposes that successful co-design with Aboriginal and Torres Strait Islander communities places legitimate value on different knowledge systems, is built on strong and trusting relationships, promotes inclusive involvement and requires authentic partnerships. Using these principles, SARRAH will engage with members and stakeholders to influence meaningful change in allied health practice in rural and remote Australia.
本文通过对文献的反思、借鉴专职医疗专业人员的经验以及思考如何将协同设计应用于农村和偏远地区的专职医疗实践,探讨与原住民及托雷斯海峡岛民社区进行协同设计的原则。
本文由农村和偏远地区专职医疗服务组织(SARRAH)的一个工作小组撰写。SARRAH是一个会员制的专职医疗组织,致力于改善澳大利亚农村和偏远地区居民的健康状况。20多年来,SARRAH一直代表并支持澳大利亚农村和偏远地区的专职医疗专业人员,其会员包括学生、从业者、项目经理、政策制定者和学者。作为一个非原住民组织,SARRAH与澳大利亚原住民专职医疗最高组织(IAHA)合作并接受其指导。
在3个月的时间里,11名SARRAH成员和工作人员组成的小组共同回顾现有文献,征求会员意见,并分享他们对协同设计的经验和理解。工作组的讨论基于两名原住民及托雷斯海峡岛民小组成员分享的知识和经验。
本文提出,与原住民及托雷斯海峡岛民社区成功开展协同设计,要对不同的知识体系给予合理重视,建立在牢固且相互信任的关系基础之上,促进包容性参与,并需要建立真正的伙伴关系。运用这些原则,SARRAH将与成员及利益相关者合作,推动澳大利亚农村和偏远地区专职医疗实践发生有意义的变革。