Sivertsen Nina, Johnson Tahlia, Deverix Janiene, Smith Susan, Grant Julian
College of Nursing and Health Sciences, Caring Futures Institute, Flinders University, Adelaide, SA, Australia.
Faculty of Health Sciences, UiT Arctic University of Norway, Tromsø, Norway.
J Racial Ethn Health Disparities. 2025 Jul 24. doi: 10.1007/s40615-025-02564-w.
Aboriginal women and their infants face substantial health disparities compared to non-Aboriginal women and their infants. Timely, effective, and culturally appropriate maternal and child healthcare can address these inequalities. However, many Aboriginal women experience fear and anxiety when using mainstream healthcare services, leading to lower attendance at perinatal appointments, often due to inadequate communication, poor service coordination, and a lack of continuity in care. This research sought to explore factors that contribute to continuity of care and to consider service features that contribute to positive care experiences and satisfaction with care received by Aboriginal women and their infants. This qualitative study used yarning to explore the experiences and perceptions of care of nine Aboriginal families. Three main themes were identified: (1) Bringing culture to the centre of healthcare with subthemes; (2) Care is lost when you get jumbled around, and (3) In and out for check-ups, scans, and things-no one asked if I needed help. The findings of this research highlight a lack of continuity of care for Aboriginal families accessing mainstream health care services in South Australia, from the antenatal period through to an infants' first 2000 days of life. This research identified strategies for enhancing continuity, enabling communities and healthcare services to provide appropriate and culturally safe care. By implementing culturally safe and appropriate care, health disparities can be reduced, maternal and child health outcomes may improve, and trust can be fostered between Aboriginal communities and mainstream healthcare services.
与非原住民妇女及其婴儿相比，原住民妇女及其婴儿面临着巨大的健康差距。及时、有效且符合文化背景的母婴保健服务能够解决这些不平等问题。然而，许多原住民妇女在使用主流医疗服务时会感到恐惧和焦虑，这导致她们在围产期预约就诊的出勤率较低，这通常是由于沟通不足、服务协调不佳以及缺乏连续护理所致。本研究旨在探讨有助于实现连续护理的因素，并考虑那些能为原住民妇女及其婴儿带来积极护理体验和对所接受护理感到满意的服务特征。这项定性研究运用交流访谈的方式，探究了九个原住民家庭的护理体验和看法。确定了三个主要主题：（1）将文化置于医疗保健中心并包含子主题；（2）当一切混乱时护理就会缺失；（3）来做检查、扫描等——没人问我是否需要帮助。本研究结果凸显了南澳大利亚州的原住民家庭在从孕期到婴儿出生后的头2000天里，在使用主流医疗服务时缺乏连续护理。该研究确定了增强连续性的策略，使社区和医疗服务能够提供合适且符合文化安全标准的护理。通过实施符合文化安全标准且恰当的护理，健康差距可以缩小，母婴健康结果可能得到改善，并且可以增进原住民社区与主流医疗服务之间的信任。
