"It's hard for me to tell my story" the experiences of Aboriginal and Torres Strait Islander male clients at a residential drug and alcohol rehabilitation centre using primary health care.
Indigenous peoples
culturally competent care
health care disparities
physician-patient relations
primary health care
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:
Oct 2021
Oct 2021
Historique:
received:
03
09
2020
accepted:
23
12
2020
pubmed:
29
12
2020
medline:
25
2
2023
entrez:
28
12
2020
Statut:
ppublish
Résumé
Aboriginal males who use drug and alcohol may experience unique barriers accessing primary health care. This study explores the perceptions of Aboriginal males in treatment for drug and alcohol use around their experiences accessing primary health care, and barriers to access. Twenty male Aboriginal clients at a fee-paying residential drug and alcohol rehabilitation centre completed semi-structured interviews about their primary health care experiences before their stay. Interpretative phenomenological analysis was used to inductively develop themes. About half the males had regular General Practitioners at a mainstream primary health care service or Aboriginal Medical Service. Positive experiences included having medical needs met or understanding the health information provided; and negative experiences included inefficient health service or system processes or experiencing cultural bias or racism. Barriers included limited access to appointments or to the same GP regularly, long wait times, lack of access to transport, worry or fear about their health or the visit or their complex lives taking priority. This research showed that the participants sought out health care and identified barriers to accessing care and potential improvements. SO WHAT?: Access to a regular General Practitioner, continuity of care and culturally appropriate and comprehensive communication techniques are important to facilitate access to primary health care by Aboriginal males. Efforts to enhance access may focus on inherent strengths within Aboriginal communities including focusing on relationships between clinicians and families, providing a welcoming environment and encouraging clients to bring a trusted family member to appointments.
Substances chimiques
Pharmaceutical Preparations
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
87-94Informations de copyright
© 2020 Australian Health Promotion Association.
Références
Calma T, Dudgeon P, Bray A. Aboriginal and Torres Strait Islander social and emotional wellbeing and mental health. Aust Psychol. 2017;52(4):255-60.
Sherwood J. Colonisation-It’s bad for your health: the context of Aboriginal health. Contemp Nurse. 2013;46(1):28-40.
Testro P, Ryan K, Hillan L. Restoring our spirits - reshaping our futures creating a trauma aware, healing informed response to the impacts of institutional child sexual abuse for Aboriginal and Torres Strait Islander people. Canberra, Australia: The Healing Foundation; 2016.
Atkinson J. Trauma trails, recreating song lines: the transgenerational effects of trauma in Indigenous Australians. North Melbourne, Australia: Spinifex Press; 2002.
Australian Institute of Health and Welfare. The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples (Ch 5). Canberra; 2015.
Australian Institute of Health and Welfare. 6.6 Indigenous Australians’ access to health services. Canberra; 2016.
World Health Organization. The Ottawa Charter for Health Promotion. Geneva, Switzerland: WHO; 1986. [cited 2020 July 07] Available from: http://www.who.int/healthpromotion/conferences/previous/ottawa/en/index.html
Do H. Australia's long term national health plan to build the world's best health system. Canberra, Australia: Australian Government; 2019.
Central Australian Aboriginal Congress. Social and Emotional Wellbeing Service Alice Springs; 2016. [Internet], [cited 2019 November 12] Available from: http://www.caac.org.au/client-services/social-emotional-wellbeing-service
International Conference on Primary Health Care. Declaration of Alma-Ata USSR; 1978. [cited 2020 September 12] Available from: https://www.who.int/publications/almaata_declaration_en.pdf
Corscadden L, Levesque J-F, Lewis V, Breton M, Sutherland K, Weenink J-W, et al. Barriers to accessing primary health care: comparing Australian experiences internationally. Aust J Primary Health. 2017;23(3):223-8.
Swerissen H, Duckett S, Moran G. Mapping primary care in Australia. Melbourne, Victoria: Grattan Institute. 2018.
Davy C, Harfield S, McArthur A, Munn Z, Brown A. Access to primary health care services for Indigenous peoples: a framework synthesis. Int J Equity Health. 2016;15(1):163.
Welfare. AIoHa. The health of Australia’s males [Internet]. Canberra, Australia: Australian Institute of Health and Welfare; 2019.
Australian Department of Health and Ageing. National Aboriginal and Torres Strait Islander Health Plan 2013-2023. Canberra, Australia: Government of Australia; 2013.
Wenitong M, Adams M, Holden CA. Engaging aboriginal and Torres Strait islander men in primary care settings. Med J Aust. 2014;200(11):632-3.
Canuto K, Wittert G, Harfield S, Brown A. “I feel more comfortable speaking to a male”: Aboriginal and Torres Strait Islander men’s discourse on utilizing primary health care services. Int J Equity Health. 2018;17(1):185.
Smith JA. Qualitative psychology: a practical guide to research methods. London, United Kingdom: Sage Publications Inc; 2003.
QSR International Pty Ltd. NVivo 10 for Windows 2013. [cited 2015 November 1]. Available from: http://www.QSR.international.com/product
Davy C, Cass A, Brady J, DeVries J, Fewquandie B, Ingram S, et al. Facilitating engagement through strong relationships between primary healthcare and Aboriginal and Torres Strait Islander peoples. Aust NZ J Public Health. 2016;40(6):535-41.
Gomersall JS, Gibson O, Dwyer J, O'Donnell K, Stephenson M, Carter D, et al. What Indigenous Australian clients value about primary health care: a systematic review of qualitative evidence. Aust NZ J Public Health. 2017;41(4):417-23.
Isaacs AN, Maybery D, Gruis H. Help seeking by Aboriginal men who are mentally unwell: a pilot study. Early Interv Psychiatry. 2013;7(4):407-13.
Purdie N, Dudgeon P, Walker R, editors. Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice. Canberra, Australia: Department of Health and Aging; 2010.
World Health Organization. Operational framework for primary health care Transforming vision into action. Draft for Member States’ consideration at the Seventy-third World Health Assembly; 2020 [cited 17/12/2020]. Available from: https://www.who.int/servicedeliverysafety/operational-framework-for-primary-health-care_WHA73.pdf
Smith JA, Braunack-Mayer A, Wittert G, Warin M. "It's sort of like being a detective": understanding how Australian men self-monitor their health prior to seeking help. BMC Health Serv Res. 2008;8(1):56.
Commonwealth of Australia. Ethical conduct in research with Aboriginal and Torres Strait Islander Peoples and communities: Guidelines for researchers and stakeholders. Canberra; 2018.