A case study of enhanced clinical care enabled by Aboriginal health research: the Hearing, EAr health and Language Services (HEALS) project

被引：19

作者：

Young, Christian ^{[1
,2
]}

Gunasekera, Hasantha ^{[3
]}

Kong, Kelvin ^{[4
,5
]}

Purcell, Alison ^{[6
]}

Muthayya, Sumithra ^{[7
]}

Vincent, Frank ^{[8
]}

Wright, Darryl ^{[9
]}

Gordon, Raylene ^{[10
]}

Bell, Jennifer ^{[11
]}

Gillor, Guy ^{[8
]}

Booker, Julie ^{[12
]}

Fernando, Peter ^{[7
]}

Kalucy, Deanna ^{[7
]}

Sherriff, Simone ^{[7
,13
]}

Tong, Allison ^{[1
,2
]}

Parter, Carmen ^{[14
]}

Bailey, Sandra ^{[15
]}

Redman, Sally ^{[7
]}

Banks, Emily ^{[7
,16
]}

Craig, Jonathan C. ^{[1
,2
]}

机构：

[1] Univ Sydney, Sch Publ Hlth, Sydney, NSW, Australia

[2] Childrens Hosp Westmead, Ctr Kidney Res, Westmead, NSW 2145, Australia

[3] Univ Sydney, Discipline Paediat & Child Hlth, Sydney, NSW, Australia

[4] John Hunter Hosp, Dept Otolaryngol Head & Neck Surg, New Lambton Hts, NSW, Australia

[5] Univ New South Wales, Rural Clin Sch, Kensington, NSW, Australia

[6] Univ Sydney, Discipline Speech Pathol, Sydney, NSW, Australia

[7] Sax Inst, Ultimo, NSW, Australia

[8] Aboriginal Med Serv Western Sydney, Mt Druitt, NSW, Australia

[9] Tharawal Aboriginal Corp, Airds, NSW, Australia

[10] Awabakal Newcastle Aboriginal Cooperat, Newcastle, NSW, Australia

[11] Riverina Med & Dent Corp, Wagga Wagga, NSW, Australia

[12] Illawarra Aboriginal Med Serv, Wollongong, NSW, Australia

[13] Univ Sydney, Poche Ctr Indigenous Hlth, Sydney Sch Publ Hlth, Sydney, NSW, Australia

[14] NSW Minist Hlth, Ctr Aboriginal Hlth, Sydney, NSW, Australia

[15] Aboriginal Hlth & Med Res Council, Surry Hills, NSW, Australia

[16] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Res Sch Populat Hlth, Canberra, ACT, Australia

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH | 2016年 / 40卷 / 06期

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

ear; nose and throat; speech-language pathology; service delivery; Indigenous; AUSTRALIA; DELIVERY; PARENTS; ACCESS;

D O I：

10.1111/1753-6405.12586

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To describe and evaluate Hearing EAr health and Language Services (HEALS), a New South Wales (NSW) health initiative implemented in 2013 and 2014 as a model for enhanced clinical services arising from Aboriginal health research. Methods: A case-study involving a mixed-methods evaluation of the origins and outcomes of HEALS, a collaboration among five NSW Aboriginal Community Controlled Health Services (ACCHS), the Sydney Children's Hospitals Network, NSW Health, the Aboriginal Health and Medical Research Council, and local service providers. Service delivery data was collected fortnightly; semi-structured interviews were conducted with healthcare providers and caregivers of children who participated in HEALS. Results: To circumvent health service barriers, HEALS used relationships established through the Study of Environment on Aboriginal Resilience and Child Health (SEARCH) to form a specialist healthcare network. HEALS employed dedicated staff and provided a Memorandum of Understanding (detailing mutual goals and responsibilities) for each ACCHS. Despite very tight timeframes, HEALS provided services for 653 Aboriginal children, including 5,822 speech-language pathology sessions and 219 Ear, Nose and Throat procedures. Four themes reflecting the perceived impact of HEALS were identified: valued clinical outcomes, raising community awareness, developing relationships/networks and augmented service delivery. Conclusions: HEALS delivered rapid and effective specialist healthcare services through an existing research collaboration with five ACCHS, cooperation from local health service providers, and effective community engagement. Implications for Public Health: HEALS serves as a framework for targeted, enhanced healthcare that benefits Aboriginal communities by encapsulating the 'no research without service' philosophy.

引用

页码：523 / 528

页数：6

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