Schultz André, Chang Anne B, Mason Donna M, Marchant Julie M, Versteegh Lesley A, Toombs Maree
Wal-yan Respiratory Research Centre, The Kids Research Institute, Perth, WA, Australia.
Division of Paediatrics, Faculty of Medicine, University of Western Australia, Perth, WA, Australia.
Front Pediatr. 2025 Jun 17;13:1526753. doi: 10.3389/fped.2025.1526753. eCollection 2025.
Culturally safe healthcare approaches are important to improve outcomes of Indigenous people. Non-Indigenous clinicians are often ill-prepared to provide such healthcare. The NHMRC Centre for Research Excellence (CRE) especially for First Nations Children has been studying for several years how to improve clinical care for Indigenous children with respiratory disease in hospital, clinic, urban, rural and remote settings. At a CRE meeting in 2023 key themes were identified based on what we have learned. Themes were informed by research conducted by the CRE and supplemented by relevant manuscripts known to CRE members. This manuscript provides practical information to aid clinicians in providing culturally safe healthcare to Indigenous people. In brief, the provision of health information that is relevant and understandable to Indigenous patients and their families is critical for ensuring condition-specific health literacy and to allow Indigenous patients to gain autonomy over medical care provided to them and their children. Methods to facilitate effective communication between healthcare providers and patients, and the creation of a culturally safe healthcare environments are discussed. The manuscript will be of practical use to clinicians and translatable to other areas of health care.
文化安全的医疗保健方法对于改善原住民的医疗结果至关重要。非原住民临床医生往往没有做好提供此类医疗保健的准备。澳大利亚国家健康与医学研究委员会卓越研究中心（CRE），特别是针对原住民儿童的卓越研究中心，多年来一直在研究如何在医院、诊所、城市、农村和偏远地区改善对患有呼吸系统疾病的原住民儿童的临床护理。在2023年的一次卓越研究中心会议上，根据我们所学确定了关键主题。这些主题是由卓越研究中心开展的研究得出，并由卓越研究中心成员所知的相关手稿加以补充。本手稿提供了实用信息，以帮助临床医生为原住民提供文化安全的医疗保健。简而言之，向原住民患者及其家人提供相关且易懂的健康信息对于确保特定疾病的健康素养以及让原住民患者在接受为他们及其子女提供的医疗护理方面获得自主权至关重要。文中讨论了促进医疗服务提供者与患者之间有效沟通以及营造文化安全的医疗环境的方法。本手稿对临床医生具有实际用途，并且可以应用于医疗保健的其他领域。
