Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/134137
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Type: | Journal article |
Title: | Aboriginal community-controlled aged care: principles, practices and actions to integrate with primary health care |
Author: | Dawson, A. Harfield, S. Davy, C. Baker, A. Kite, E. Aitken, G. Morey, K. Braunack-Mayer, A. Brown, A. |
Citation: | Primary Health Care Research and Development, 2021; 22:e50-1-e50-9 |
Publisher: | Cambridge University Press (CUP) |
Issue Date: | 2021 |
ISSN: | 1463-4236 1477-1128 |
Statement of Responsibility: | Anna Dawson, Stephen Harfield, Carol Davy, Anna Baker, Elaine Kite, Graham Aitken, Kim Morey, Annette Braunack-Mayer, and Alex Brown |
Abstract: | Aim: To identify: 1) best practice aged care principles and practices for Aboriginal and Torres Strait Islander older peoples, and 2) actions to integrate aged care services with Aboriginal community-controlled primary health care. Background: There is a growing number of older Aboriginal and Torres Strait Islander peoples and an unmet demand for accessible, culturally safe aged care services. The principles and features of aged care service delivery designed to meet the unique needs of Aboriginal and Torres Strait Islander peoples have not been extensively explored and must be understood to inform aged care policy and primary health care planning into the future. Methods: The research was governed by leaders from across the Aboriginal community-controlled primary health care sector who identified exemplar services to explore best practice in culturally aligned aged care. In-depth case studies were undertaken with two metropolitan Aboriginal community-controlled services. We conducted semi-structured interviews and yarning circles with 46 staff members to explore key principles, ways of working, enablers and challenges for aged care service provision. A framework approach to thematic analysis was undertaken with emergent findings reviewed and refined by participating services and the governance panel to incorporate national perspectives. Findings: A range of principles guided Aboriginal community-controlled aged care service delivery, such as supporting Aboriginal and Torres Strait Islander identity, connection with elders and communities and respect for self-determination. Strong governance, effective leadership and partnerships, Aboriginal and Torres Strait Islander workforce and culturally safe non-Indigenous workforce were among the identified enablers of aged care. Nine implementation actions guided the integration of aged care with primary health care service delivery. Funding limitations, workforce shortages, change management processes and difficulties with navigating the aged care system were among the reported challenges. These findings contribute to an evidence base regarding accessible, integrated, culturally safe aged care services tailored to the needs of Aboriginal and Torres Strait Islander peoples. |
Keywords: | Aboriginal and Torres Strait Islander Aboriginal community control aged care Indigenous |
Rights: | © The Author(s), 2021. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:// creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1017/S1463423621000542 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1061242 http://purl.org/au-research/grants/nhmrc/1137563 |
Published version: | http://dx.doi.org/10.1017/s1463423621000542 |
Appears in Collections: | Public Health publications |
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hdl_134137.pdf | Published version | 286.87 kB | Adobe PDF | View/Open |
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