Cargando…

“You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease

Indigenous Australians experience significantly poorer health compared to other Australians, with chronic disease contributing to two-thirds of the health gap. We report on an evaluation of an innovative model that leverages mainstream and Aboriginal health resources to enable safe, supported transf...

Descripción completa

Detalles Bibliográficos
Autores principales: Blignault, Ilse, Norsa, Liz, Blackburn, Raylene, Bloomfield, George, Beetson, Karen, Jalaludin, Bin, Jones, Nathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8306914/
https://www.ncbi.nlm.nih.gov/pubmed/34299688
http://dx.doi.org/10.3390/ijerph18147233
_version_ 1783727925439234048
author Blignault, Ilse
Norsa, Liz
Blackburn, Raylene
Bloomfield, George
Beetson, Karen
Jalaludin, Bin
Jones, Nathan
author_facet Blignault, Ilse
Norsa, Liz
Blackburn, Raylene
Bloomfield, George
Beetson, Karen
Jalaludin, Bin
Jones, Nathan
author_sort Blignault, Ilse
collection PubMed
description Indigenous Australians experience significantly poorer health compared to other Australians, with chronic disease contributing to two-thirds of the health gap. We report on an evaluation of an innovative model that leverages mainstream and Aboriginal health resources to enable safe, supported transfer of care for Aboriginal adults with chronic conditions leaving hospital. The multisite evaluation was Aboriginal-led and underpinned by the principles of self-determination and equity and Indigenous research protocols. The qualitative study documented processes and captured service user and provider experiences. We found benefits for patients and their families, the hospital and the health system. The new model enhanced the patient journey and trust in the health service and was a source of staff satisfaction. Challenges included staff availability, patient identification and complexity and the broader issue of cultural safety. Critical success factors included strong governance with joint cultural and clinical leadership and enduring relationships and partnerships at the service delivery, organisation and system levels. A holistic model of care, bringing together cultural and clinical expertise and partnering with Indigenous community organisations, can enhance care coordination and safety across the hospital–community interface. It is important to consider context as well as specific program elements in design, implementation and evaluation.
format Online
Article
Text
id pubmed-8306914
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-83069142021-07-25 “You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease Blignault, Ilse Norsa, Liz Blackburn, Raylene Bloomfield, George Beetson, Karen Jalaludin, Bin Jones, Nathan Int J Environ Res Public Health Article Indigenous Australians experience significantly poorer health compared to other Australians, with chronic disease contributing to two-thirds of the health gap. We report on an evaluation of an innovative model that leverages mainstream and Aboriginal health resources to enable safe, supported transfer of care for Aboriginal adults with chronic conditions leaving hospital. The multisite evaluation was Aboriginal-led and underpinned by the principles of self-determination and equity and Indigenous research protocols. The qualitative study documented processes and captured service user and provider experiences. We found benefits for patients and their families, the hospital and the health system. The new model enhanced the patient journey and trust in the health service and was a source of staff satisfaction. Challenges included staff availability, patient identification and complexity and the broader issue of cultural safety. Critical success factors included strong governance with joint cultural and clinical leadership and enduring relationships and partnerships at the service delivery, organisation and system levels. A holistic model of care, bringing together cultural and clinical expertise and partnering with Indigenous community organisations, can enhance care coordination and safety across the hospital–community interface. It is important to consider context as well as specific program elements in design, implementation and evaluation. MDPI 2021-07-06 /pmc/articles/PMC8306914/ /pubmed/34299688 http://dx.doi.org/10.3390/ijerph18147233 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Blignault, Ilse
Norsa, Liz
Blackburn, Raylene
Bloomfield, George
Beetson, Karen
Jalaludin, Bin
Jones, Nathan
“You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
title “You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
title_full “You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
title_fullStr “You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
title_full_unstemmed “You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
title_short “You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease
title_sort “you can’t work with my people if you don’t know how to”: enhancing transfer of care from hospital to primary care for aboriginal australians with chronic disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8306914/
https://www.ncbi.nlm.nih.gov/pubmed/34299688
http://dx.doi.org/10.3390/ijerph18147233
work_keys_str_mv AT blignaultilse youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease
AT norsaliz youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease
AT blackburnraylene youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease
AT bloomfieldgeorge youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease
AT beetsonkaren youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease
AT jalaludinbin youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease
AT jonesnathan youcantworkwithmypeopleifyoudontknowhowtoenhancingtransferofcarefromhospitaltoprimarycareforaboriginalaustralianswithchronicdisease