改善对患有风湿性心脏病的原住民和托雷斯海峡岛民的初级医疗服务：我能做些什么？
Improving primary care for Aboriginal and Torres Strait Islander people with rheumatic heart disease: What can I do?
作者信息
Wyber Rosemary, Ralph Anna P, Bowen Asha C, Wade Vicki, Bessarab Dawn, Haynes Emma
机构信息
MBChB, MPH, FRACGP, The George Institute for Global Health, NSW; END RHD Head of Strategy, Telethon Kids Institute, WA; Senior Adjunct Research Fellow, University of Western Australia, WA.
BMedSci, MPH, DTMH, FRACP, PhD, Professor, Head of Global Health Division and Senior Clinical Research Fellow, Menzies School of Health Research, Charles Darwin University, NT; General Medicine and Infectious Diseases Specialist, Royal Darwin Hospital, NT.
出版信息
Aust J Gen Pract. 2022 Dec;51(12):959-964. doi: 10.31128/AJGP-06-22-6468.
BACKGROUND
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) disproportionately affect Aboriginal and Torres Strait Islander people in Australia, with devastating impacts on morbidity, mortality and community wellbeing. Research suggests that general practitioners and primary care staff perceive insurmountable barriers to improving clinical outcomes, including the need for systemic change outside their scope of practice.
OBJECTIVE
The aim of this article is to identify constructive, micro-level strategies that primary healthcare clinicians can consider, adopt and sustainably use to improve care for people with ARF and RHD in their routine clinical practice.
DISCUSSION
Through skilled clinical care, reflection and culturally safe practices, individual primary healthcare clinicians have substantial capacity to improve care experiences and outcomes for Aboriginal and Torres Strait Islander people and communities affected by ARF and RHD.
背景
急性风湿热（ARF）和风湿性心脏病（RHD）对澳大利亚原住民和托雷斯海峡岛民的影响尤为严重，对发病率、死亡率和社区福祉造成了毁灭性影响。研究表明，全科医生和基层医疗人员认为在改善临床结果方面存在无法逾越的障碍，包括需要在其执业范围之外进行系统性变革。
目的
本文旨在确定基层医疗临床医生可以考虑、采用并可持续使用的建设性微观层面策略，以在日常临床实践中改善对ARF和RHD患者的护理。
讨论
通过熟练的临床护理、反思和文化安全实践，个体基层医疗临床医生有很大能力改善受ARF和RHD影响的原住民和托雷斯海峡岛民个人及社区的护理体验和结果。
Zotero 插件