Aboriginal patient and interpreter perspectives on the delivery of culturally safe hospital-based care.
Aboriginal and Torres Strait Islanders
health advocacy
health equity
Journal
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals
ISSN: 1036-1073
Titre abrégé: Health Promot J Austr
Pays: Australia
ID NLM: 9710936
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
05
05
2020
revised:
21
08
2020
accepted:
21
08
2020
pubmed:
6
9
2020
medline:
19
8
2021
entrez:
5
9
2020
Statut:
ppublish
Résumé
Improving equitable delivery of health care for Aboriginal people in northern Australia is a priority. This study sought to gauge patient experiences of hospitalisation and to identify strategies to improve equity in health care for Aboriginal patients. Aims were to validate an experience of care survey and document advice from Aboriginal interpreters. Medical charts of Aboriginal patients were audited for documentation of language and interpreter use. Aboriginal inpatients were surveyed using an adapted Australian Hospital Patient Experience Question Set. Multiple-choice responses were compared with free-text comments to explore validity. Semi-structured interviews were conducted with Aboriginal interpreter staff. In 68 charts audited, primary language was documented for only 30/68 (44%) people. Of 73 patient experience survey respondents, 49/73 (67%) indicated satisfaction with overall care; 64/73 (88%) indicated hospital staff communicated well in multiple-choice responses. Respondents who gave positive multiple-choice ratings nevertheless reported in free text responses concerns relating to social-emotional support, loneliness, racism and food. Key themes from interviews included the benefits to patients from accessing interpreters, benefits of hospital-based support for interpreters and the need for further service redesign. Multiple-choice questions in the survey were of limited utility; respondents' free comments were more informative. Social and emotional wellbeing must be addressed in future experience-of-care evaluations. Aboriginal patients' language and cultural needs can be better met by improved systems approaches. Aboriginal interpreters are uniquely placed to advise on this. SO WHAT?: Improving health communication is critical to equitable and effective health care. Interventions must be driven by Aboriginal perspectives.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
155-165Subventions
Organisme : National Health and Medical Research Council
ID : APR is supported by a NHMRC fellowship (1142011)
Organisme : National Health and Medical Research Council
ID : Improving Health Outcomes in the Tropical North
Organisme : Menzies School of Health Research
ID : Menzies School of Health Research Grants Scheme
Informations de copyright
© 2020 Australian Health Promotion Association.
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