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https://www.readbyqxmd.com/read/27469053/regional-health-workforce-planning-through-action-research-lessons-for-commissioning-health-services-from-a-case-study-in-far-north-queensland
#1
Annette June Panzera, Richard Murray, Ruth Stewart, Jane Mills, Neil Beaton, Sarah Larkins
Creating a stable and sustainable health workforce in regional, rural and remote Australia has long been a challenge to health workforce planners, policy makers and researchers alike. Traditional health workforce planning is often reactive and assumes continuation of current patterns of healthcare utilisation. This demonstration project in Far North Queensland exemplifies how participatory regional health workforce planning processes can accurately model current and projected local workforce requirements. The recent establishment of Primary Health Networks (PHNs) with the intent to commission health services tailored to individual healthcare needs underlines the relevance of such an approach...
2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27383093/strength-based-well-being-indicators-for-indigenous-children-and-families-a-literature-review-of-indigenous-communities-identified-well-being-indicators
#2
Jennifer Rountree, Addie Smith
Mainstream child and family well-being indicators frequently are based on measuring health, economic, and social deficits, and do not reflect Indigenous holistic and strength-based definitions of health and well-being. The present article is a review of literature that features Indigenous communities' self-identified strength-based indicators of child and family well-being. The literature search included Indigenous communities from across the world, incorporating findings from American Indians and Alaska Natives, First Nations, Native Hawaiians, Māori, Aboriginal Australians, and Sámi communities...
2016: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/27313485/-unwell-while-aboriginal-iatrogenesis-in-australian-medical-education-and-clinical-case-management
#3
Shaun C Ewen, David Hollinsworth
INTRODUCTION: Attention to Aboriginal health has become mandatory in Australian medical education. In parallel, clinical management has increasingly used Aboriginality as an identifier in both decision making and reporting of morbidity and mortality. This focus is applauded in light of the gross inequalities in health outcomes between indigenous people and other Australians. METHODS: A purposive survey of relevant Australian and international literature was conducted to map the current state of play and identify concerns with efforts to teach cultural competence with Aboriginal people in medical schools and to provide "culturally appropriate" clinical care...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27111368/aboriginal-health-care-and-bioethics-a-reflection-on-the-teaching-of-the-seven-grandfathers
#4
Jaro Kotalik, Gerry Martin
Contemporary bioethics recognizes the importance of the culture in shaping ethical issues, yet in practice, a process for ethical analysis and decision making is rarely adjusted to the culture and ethnicity of involved parties. This is of a particular concern in a health care system that is caring for a growing Aboriginal population. We raise the possibility of constructing a bioethics grounded in traditional Aboriginal knowledge. As an example of an element of traditional knowledge that contains strong ethical guidance, we present the story of the Gifts of the Seven Grandfathers...
May 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/26778083/cultural-safety-and-midwifery-care-for-aboriginal-women-a-phenomenological-study
#5
Angela E Brown, Philippa F Middleton, Jennifer A Fereday, Jan I Pincombe
BACKGROUND: Aboriginal and Torres Strait islander(1) women face considerable health disparity in relation to their maternity health outcomes when compared to non-Aboriginal women. Culture and culturally appropriate care can contribute to positive health outcomes for Aboriginal women. How midwives provide culturally appropriate care and how the care is experienced by the women is central to this study. AIM: To explore the lived experiences of midwives providing care in the standard hospital care system to Aboriginal women at a large tertiary teaching hospital...
April 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/26377746/outcomes-of-australian-rural-clinical-schools-a-decade-of-success-building-the-rural-medical-workforce-through-the-education-and-training-continuum
#6
MULTICENTER STUDY
Jennene A Greenhill, Judi Walker, Denese Playford
INTRODUCTION: The establishment of the rural clinical schools funded through the Commonwealth Department of Health and Ageing (now Department of Health) Rural Clinical Training and Support program over a decade ago has been a significant policy initiative in Australian rural health. This article explores the impacts of this policy initiative and presents the wide range of educational innovations contextualised to each rural community they serve. METHODS: This article reviews the achievements of the Australian rural clinical and regional medical schools (RCS/RMS) through semi-structured interviews with the program directors or other key informants...
July 2015: Rural and Remote Health
https://www.readbyqxmd.com/read/26278639/models-of-care-involving-district-hospitals-a-rapid-review-to-inform-the-australian-rural-and-remote-context
#7
REVIEW
Susan A Nancarrow, Alison Roots, Sandra Grace, Vahid Saberi
OBJECTIVES: Distnct hospitals are important symbolic structures in rural and remote communities; however, little has been published on the role, function or models of care of district hospitals in rural and remote Australia. The aim of the present study was to identify models of care that incorporate district hospitals and have relevance to the Australian rural and remote context. METHODS: A systematic, rapid review was conducted of published peer-reviewed and grey literature using CINAHL, Medline, PsychInfo, APAIS-Health, ATSI health, Health Collection, Health & Society, Meditext, RURAL, PubMed and Google Scholar...
November 2015: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/26245939/using-cultural-immersion-as-the-platform-for-teaching-aboriginal-and-torres-strait-islander-health-in-an-undergraduate-medical-curriculum
#8
Janie D Smith, Christina Wolfe, Shannon Springer, Mary Martin, John Togno, Katrina A Bramstedt, Sally Sargeant, Bradley Murphy
INTRODUCTION: In 2011 Bond University was looking for innovative ways to meet the professional standards and guidelines in Aboriginal and Torres Strait Islander health in its Bachelor of Medicine, Bachelor of Surgery (MBBS) curriculum. In 2012 Bond piloted a compulsory cultural immersion program for all first year students, which is now a usual part of the MBBS program. METHODS: Three phases were included - establishing an Indigenous health group, determining the Aboriginal and Torres Strait Islander educational content based on the professional standards and developing nine educational sessions and resources - as well as significant administrative processes...
July 2015: Rural and Remote Health
https://www.readbyqxmd.com/read/25989409/-stereotypes-are-reality-addressing-stereotyping-in-canadian-aboriginal-medical-education
#9
Anh Ly, Lynden Crowshoe
CONTEXT: Efforts are underway in many parts of the world to develop medical education curricula that address the health care issues of indigenous populations. The topic of stereotypes and their impact on such peoples' health, however, has received little attention. An examination of stereotypes will shed light on dominant cultural attitudes toward Aboriginal people that can affect quality of care and health outcomes in Aboriginal patients. OBJECTIVES: This study examines the views of undergraduate medical students regarding Canadian Aboriginal stereotypes and how they potentially affect Aboriginal people's health...
June 2015: Medical Education
https://www.readbyqxmd.com/read/25944764/here-and-now-aboriginal-assessment-background-development-and-preliminary-evaluation-of-a-culturally-appropriate-screening-tool
#10
Aleksandar Janca, Zaza Lyons, Sivasankaran Balaratnasingam, Dora Parfitt, Sophie Davison, Jonathan Laugharne
OBJECTIVE: Assessment of Aboriginal social and emotional wellbeing (SEWB) is a complex and challenging task, in part due to a lack of suitable assessment tools. This paper reports the development and evaluation of a culturally appropriate screening tool called the Here and Now Aboriginal Assessment (HANAA). METHOD: The initial phase included development of a glossary of Aboriginal terms and concepts relating to SEWB. The glossary was used to identify 10 key HANAA domains, which included physical health, sleep, mood, suicide risk and self harm, substance use, memory, unusual experiences, functioning, life stressors and resilience...
June 2015: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/25885286/exploring-undergraduate-midwifery-students-readiness-to-deliver-culturally-secure-care-for-pregnant-and-birthing-aboriginal-women
#11
Rosalie D Thackrah, Sandra C Thompson, Angela Durey
BACKGROUND: Culturally secure health care settings enhance accessibility by Aboriginal Australians and improve their satisfaction with service delivery. A culturally secure health service recognises and responds to the legitimate cultural rights of the recipients of care. Focus is upon the health care system as well as the practice and behaviours of the individuals within it. In an attempt to produce culturally secure practitioners, the inclusion of Aboriginal content in health professional programs at Australian universities is now widespread...
April 16, 2015: BMC Medical Education
https://www.readbyqxmd.com/read/25614928/risk-factors-for-gestational-diabetes-mellitus-ethnic-disparities
#12
Tzu-Chi Lin, Chia-Fen Mu, Chao-Yu Hsu
OBJECTIVE: Gestational diabetes mellitus (GDM) increases the risk of poor maternal and infant health outcomes; therefore, the objective of this study was to compare the ethnic disparities and identify the risk factors for GDM. DESIGN: We performed a cross-sectional analysis using patient records from a hospital located in the Puli area of Central Taiwan. SETTING: A teaching hospital located in a rural mountainous area of Central Taiwan. PARTICIPANTS: Between 2002 and 2012, the hospital admitted 154 patients (107 non-aborigines, 30 aborigines, and 17 non-Taiwanese) who exhibited glucose intolerance during their pregnancy...
June 2015: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/25420973/the-beyond-borders-initiative-aboriginal-torres-strait-islander-and-international-public-health-students-engaging-partners-in-cross-cultural-learning
#13
Michelle Dickson, Giselle Manalo
BACKGROUND: The University of Sydney's Graduate Diploma in Indigenous Health Promotion (GDIHP) and Masters of International Public Health (MIPH) students have expressed a consistent desire to engage more with each other through student tutorials or any small group activity. MIPH students have expressed an interest in learning about Aboriginal and Torres Strait Islander Aboriginal and Torres Strait Islanderpeople and their health issues recognising contextual similarities in health priorities and social-cultural determinants...
May 2014: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/25238693/challenges-of-hepatitis-c-treatment-in-native-americans-in-two-north-dakota-medical-facilities
#14
MULTICENTER STUDY
S Hossain, S Jalil, D M Guerrero, A E Sahmoun
INTRODUCTION: The prevalence of chronic liver disease (CLD) in the Aboriginal North American population is disproportionately higher than that of the non-indigenous population. Hepatitis C virus (HCV) is the second leading cause of CLD in American Indians or Alaska Natives (AIANs). This study described the experience of two teaching community medical centers in North Dakota in treating HCV infection among AIANs and compared treatment outcomes to a cohort of Caucasian patients. METHODS: The retrospective study described the characteristics and proportion of AIAN patients with HCV who received treatment...
2014: Rural and Remote Health
https://www.readbyqxmd.com/read/25120116/-reflections-and-recommendations-from-quebec-mental-health-university-institutes-on-the-working-paper-of-the-provincial-forum-for-the-2014-2020-mental-health-action-plan
#15
Denise Fortin, Lynne McVey, Simon Racine, André J Luyet, Mimi Israël, Evens Villeneuve, Jean-François Trudel, Linda Fortier
GOAL: Quebec's three mental health university institutes (DMHUI, IUSMM and the IUSMQ) and the Centre hospitalier universitaire de Sherbrooke submitted a statement to the provincial consultation forum on the 2014-2020 Mental Health Action Plan (MHAP), which was held in January 2014 and organized by the Ministère de la Santé et des Services sociaux (MSSS). This article presents these institutes' main recommendations. METHOD: Mental health university institutes deliver a wide and diverse range of services...
2014: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/25115609/general-practitioner-supervisor-assessment-and-teaching-of-registrars-consulting-with-aboriginal-patients-is-cultural-competence-adequately-considered
#16
Penelope Abbott, Jennifer Reath, Elaine Gordon, Darshana Dave, Chris Harnden, Wendy Hu, Emma Kozianski, Cris Carriage
BACKGROUND: General Practitioner (GP) Supervisors have a key yet poorly defined role in promoting the cultural competence of GP Registrars who provide healthcare to Aboriginal and Torres Strait Islander people during their training placements. Given the markedly poorer health of Indigenous Australians, it is important that GP training and supervision of Registrars includes assessment and teaching which address the well documented barriers to accessing health care. METHODS: A simulated consultation between a GP Registrar and an Aboriginal patient, which illustrated inadequacies in communication and cultural awareness, was viewed by GP Supervisors and Medical Educators during two workshops in 2012...
2014: BMC Medical Education
https://www.readbyqxmd.com/read/24664249/profile-and-programming-needs-of-federal-offenders-with-histories-of-intimate-partner-violence
#17
Lynn A Stewart, Jenelle Power
This study presents data on male perpetrators of domestic violence (DV) in the Correctional Service of Canada (CSC) using two samples: (a) a snapshot of all male offenders in CSC who had been assessed for DV (n = 15,166) and (b) a cumulative sample of male offenders in CSC from 2002-2010 who had been assessed as moderate or high risk for further DV (n = 4,261) DV offenders were compared to a cohort sample of non-DV offenders (n = 4,261). Analyses were disaggregated for Aboriginal and non-Aboriginal offenders...
October 2014: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/24377549/effects-of-an-anti-smoking-program-to-prevent-lung-cancer-among-urban-aboriginals-in-taiwan
#18
Mei-Hsiang Lin, Sheu-Jen Huang, Whei-Mei Jean Shih, Pao-Yu Wang, Li-Hui Lin, Hsiu-Chin Hsu
BACKGROUND AND PURPOSE: Indigenous people who leave their hometowns and move to the city to earn a living became urban aboriginals. During the process of adapting to urban living situations, they may use various coping strategies such as smoking to overcome their stress. Therefore, it is crucial to provide health education including smoking prevention, increasing knowledge regarding of tobacco hazard, self-efficacy of anti-smoking, and adjusting smoking behavior so as to empower their anti-smoking motivation to prevent lung cancer...
2013: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/24152404/-health-system-and-aboriginal-communities-in-the-province-of-formosa-argentina
#19
Cristina S Mirassou
The author comments her experience in the practice of medicine and public health among aborigines in Formosa, a long neglected province in northeast Argentina. Her experience goes through a span of 34 years, 11 in a small community in a far off region. The province has 530162 inhabitants, 43358 (6.5%) aborigines of the Wichí, Qom, and Pilagá ethnicities. Some particular public health problems of these aborigines are due to the great distance between communities and the regular medical assistance while others are related to cultural differences...
2013: Medicina
https://www.readbyqxmd.com/read/23936889/asthma-education-program-for-first-nations-children-an-exemplar-of-the-knowledge-to-action-framework
#20
Maureen L Douglas, Shawna L McGhan, Danielle Tougas, Nancy Fenton, Christopher Sarin, Oxana Latycheva, A Dean Befus
BACKGROUND: The prevalence of asthma in Aboriginal children is 6% to 14%. Gaps in knowledge regarding asthma and its management exist in First Nations (FN) communities, and culturally relevant education and resources are required. Studies have recommended that the children's asthma education program, the 'Roaring Adventures of Puff', be modified through partnership with FN communities to be culturally appropriate. OBJECTIVE: To adapt this knowledge tool and design an effective implementation process for FN knowledge users (children with asthma and care providers), guided by the Canadian Institutes of Health Research knowledge translation framework...
July 2013: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
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