Week 5: Aboriginal and Torres Straight Islander Health 2 Flashcards
Approximately, how do the health needs of ATSI people compare to non-indigenous Australians?
~3 times higher for ATSI
Describe how this hierarchy system applies to health care for ATSI people
This ladder illustrates the degrees of citizen participation. In health care it is desirable to achieve as high as possible citizen participation to deliver good health care. Historically ATSI people have been given little information and control over health care processes. This has moved toward a citizen consultation focus and is now looking to move toward more citizen control.
Outline some differences between consultation and self-determination?
Consulation - giving information and exchanging information - agreement/partial agreement Self-determination: - taking matters into own hands - free to pursue economic, cultural and social development - rights respected
Briefly define partnership with community in health care
This refers to an interdependent and equal collaboration in working toward long-term goals
Briefly define community ownership
Ownership refers to community ownership and therefore responsibility and accountability for decisions made
What are the key points of the NACCHO definition of primary healthcare?
-scientifically sound - socially acceptable - accessability - full community participation - aspects of self-reliance and determination
Name 4 examples of services which deliver public health in one form or another
-hospitals - multi purpose health centres - primary health care centres - population health
What is the Aboriginal and Torres Strait Islander Cultural Capability Program?
This program is designed to improve health care services for ATSI people through a multi-pronged approach
What are the main priciples of the ATSICC program?
-cultural respect & recognition principle - communication principle - capacity building principle - Relationships & Partnerships principle
Give some examples of how the cultural respect & recognition principle is considered
This focuses on cultural practices and respect for these. Examples are: kinship structures, traditional healing, protocols of dying (sorry business)
Give some examples of how the communication principle is considered
This focuses on anything impacting on communication and how to deal with this: language differences, hospital liaison officers, interpreters, involving family members
Give some examples of how thecapacity building principle is considered
This focuses on increasing health care system cultural capacity: increasing indigenous work force, cultural safety training for all workers
Give some examples of how the relationship and partnership principle is considered
This refers to community partnership, but also to partnership with sectors outside of health like housing to improve health
What are some issues for general practices in providing health care for ATSI people?
- focus on fee for service: diasdvantages lower SES - No standardised cultural safety regime. May lack cultural capacity (language, culture) - clashes between appointment system and time-general culture - inadequate remuneration for time intensive health care plans
What are some ways to improve health care provided by general practices?
-incentives: already in place - active engagement with community - making efforts to increase indigenous workforce - ensuring location is accessible (transport May be limited for some) - wholistic care approach eg. having on-site Aboriginal health worker and other allied health