Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians
Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians
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DOI：
10.1111/ecc.12467
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发表时间：
2016-03-01
影响因子：
2.1
通讯作者：
Garvey, G.
中科院分区：
文献类型：
--
作者：
Meiklejohn, J. A.;Adams, J.;Garvey, G.
调查卫生专业人员对阻碍或促进土著人癌症护理的因素的看法。半结构化访谈22卫生专业人员参与土著癌症护理。数据解释使用归纳专题分析方法。与会者提出了他们对土著癌症护理的一些障碍和促进因素的看法。障碍与沟通、卫生系统和护理协调方面的挑战、个人和社区优先事项问题以及对癌症治疗和卫生专业判断的看法有关。癌症照护之使能因素与信任与融洽的重要性、医疗照护系统与支持因素有关。调查结果强调，需要在医疗记录中记录土著人的身份，并采取协调一致的办法，提供基于证据和文化上适当的癌症护理。这可能有助于改善土著患者对三级癌症护理服务的参与。
To investigate health professionals' perspectives about factors that impede or facilitate cancer care for Indigenous people. Semi-structured interviews with 22 health professionals involved in Indigenous cancer care. Data were interpreted using an inductive thematic analysis approach. Participants presented their perspectives on a number of barriers and enablers to Indigenous cancer care. Barriers were related to challenges with communication, the health system and coordination of care, issues around individual and community priorities and views of cancer treatment and health professional judgement. Enablers to cancer care were related to the importance of trust and rapport as well as health care system and support factors. The findings highlighted the need for recording of Indigenous status in medical records and a coordinated approach to the provision of evidence-based and culturally appropriate cancer care. This could go some way to improving Indigenous patient's engagement with tertiary cancer care services.