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Opportunities and challenges for physical rehabilitation with indigenous populations

Indigenous peoples in colonised countries internationally experience a disproportionately high burden of disease and disability. The impact of many of these conditions, such as musculoskeletal pain, can be ameliorated by participating in physical rehabilitation. However, access by Indigenous peoples...

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Detalles Bibliográficos
Autores principales: Lin, Ivan, Coffin, Juli, Bullen, Jonathan, Barnabe, Cheryl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808686/
https://www.ncbi.nlm.nih.gov/pubmed/33490838
http://dx.doi.org/10.1097/PR9.0000000000000838
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author Lin, Ivan
Coffin, Juli
Bullen, Jonathan
Barnabe, Cheryl
author_facet Lin, Ivan
Coffin, Juli
Bullen, Jonathan
Barnabe, Cheryl
author_sort Lin, Ivan
collection PubMed
description Indigenous peoples in colonised countries internationally experience a disproportionately high burden of disease and disability. The impact of many of these conditions, such as musculoskeletal pain, can be ameliorated by participating in physical rehabilitation. However, access by Indigenous peoples to physical rehabilitation is low. Overcoming barriers for Indigenous peoples to access high-quality, effective, culturally secure physical rehabilitation should be a priority. Physical rehabilitation outcomes for Indigenous peoples can be enhanced by addressing health system, health service, and individual clinician-level considerations. System-level changes include a greater commitment to cultural security, improving the funding of physical rehabilitation to Indigenous communities, building the Indigenous physical rehabilitation workforce, and developing and using Indigenous-identified indicators in quality improvement. At the health service level, physical rehabilitation should be based within Indigenous health services, Indigenous people should be employed as physical rehabilitation professionals or in allied roles, and cultural training and support provided to the existing physical rehabilitation workforce. For clinicians, a focus on cultural development and the quality of communication is needed. Indigenous ill-health is complex and includes societal and social influences. These recommendations offer practical guidance toward fair, reasonable, and equitable physical rehabilitation outcomes for Indigenous peoples.
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spelling pubmed-78086862021-01-21 Opportunities and challenges for physical rehabilitation with indigenous populations Lin, Ivan Coffin, Juli Bullen, Jonathan Barnabe, Cheryl Pain Rep New Directions for Physical Rehabilitation of Musculoskeletal Pain Conditions Indigenous peoples in colonised countries internationally experience a disproportionately high burden of disease and disability. The impact of many of these conditions, such as musculoskeletal pain, can be ameliorated by participating in physical rehabilitation. However, access by Indigenous peoples to physical rehabilitation is low. Overcoming barriers for Indigenous peoples to access high-quality, effective, culturally secure physical rehabilitation should be a priority. Physical rehabilitation outcomes for Indigenous peoples can be enhanced by addressing health system, health service, and individual clinician-level considerations. System-level changes include a greater commitment to cultural security, improving the funding of physical rehabilitation to Indigenous communities, building the Indigenous physical rehabilitation workforce, and developing and using Indigenous-identified indicators in quality improvement. At the health service level, physical rehabilitation should be based within Indigenous health services, Indigenous people should be employed as physical rehabilitation professionals or in allied roles, and cultural training and support provided to the existing physical rehabilitation workforce. For clinicians, a focus on cultural development and the quality of communication is needed. Indigenous ill-health is complex and includes societal and social influences. These recommendations offer practical guidance toward fair, reasonable, and equitable physical rehabilitation outcomes for Indigenous peoples. Wolters Kluwer 2020-09-23 /pmc/articles/PMC7808686/ /pubmed/33490838 http://dx.doi.org/10.1097/PR9.0000000000000838 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle New Directions for Physical Rehabilitation of Musculoskeletal Pain Conditions
Lin, Ivan
Coffin, Juli
Bullen, Jonathan
Barnabe, Cheryl
Opportunities and challenges for physical rehabilitation with indigenous populations
title Opportunities and challenges for physical rehabilitation with indigenous populations
title_full Opportunities and challenges for physical rehabilitation with indigenous populations
title_fullStr Opportunities and challenges for physical rehabilitation with indigenous populations
title_full_unstemmed Opportunities and challenges for physical rehabilitation with indigenous populations
title_short Opportunities and challenges for physical rehabilitation with indigenous populations
title_sort opportunities and challenges for physical rehabilitation with indigenous populations
topic New Directions for Physical Rehabilitation of Musculoskeletal Pain Conditions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808686/
https://www.ncbi.nlm.nih.gov/pubmed/33490838
http://dx.doi.org/10.1097/PR9.0000000000000838
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