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Communication, collaboration and care coordination: the three-point guide to cancer care provision for Aboriginal and Torres Strait Islander Australians.

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Date

2020-06-17

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Affiliation(s)

(de Witt, Garvey, Valery, Cunningham) Menzies School of Health Research, Brisbane Queensland, Charles Darwin University, Darwin, NT, Australia
(de Witt, Valery) QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
(Matthews, Bailie) University Centre for Rural Health, University of Sydney, NSW, Australia
(Adams) Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
(Martin) School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
(Martin) Southside Clinical School, University of Queensland, Brisbane, QLD, Australia

Year

2020

Citation

International Journal of Integrated Care. Vol.20(2), 2020, pp. 1-16.

Journal

International Journal of Integrated Care

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Grant information

Organisation: (CDU) Charles Darwin University Organisation No: 501100001803 Country: Australia
No: 1041111 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
No: 1044433 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
No: 1078927 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
No: 1083090 Organisation: (NMRC) National Medical Research Council Organisation No: 501100001349 Country: Singapore
No: 1105399 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
No: FT140100195 Organisation: (ARC) Australian Research Council Organisation No: 501100000923 Country: Australia
The authors acknowledge the ongoing support of the Lowitja Institute, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research.

Abstract

Aim: To explore health professionals' perspectives on communication, continuity and between-service coordination for improving cancer care for Indigenous people in Queensland. Method(s): Semi-structured interviews were conducted in a purposive sample of primary health care (PHC) services in Queensland with Indigenous and non-Indigenous health professionals who had experience caring for Indigenous cancer patients in the PHC and hospital setting. The World Health Organisation integrated people-centred health services framework was used to analyse the interview data. Result(s): Seventeen health staff from six Aboriginal Community Controlled Services and nine health professionals from one tertiary hospital participated in this study. PHC sites were in urban, regional and rural settings and the hospital was in a major city. Analysis of the data suggests that timely communication and information exchange, collaborative approaches, streamlined processes, flexible care delivery, and patient-centred care and support were crucial in improving the continuity and coordination of care between the PHC service and the treating hospital. Conclusion(s): Communication, collaboration and care coordination are integral in the provision of quality cancer care for Indigenous Australians. It is recommended that health policy and funding be designed to incorporate these aspects across services and settings as a strategy to improve cancer outcomes for Indigenous people in Queensland. Copyright © 2020 The Author(s).

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Article

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Subjects

Cancer
Cultural safety
Healthcare workforce

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