Closing the (service) gap: exploring partnerships between Aboriginal and mainstream health services

Taylor, Kate; Thompson, Sandra C.

doi:10.1071/ah10936

Cited by 59 publications

(100 citation statements)

References 21 publications

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“…There are sound reasons why such initiatives recommend partnerships with Aboriginal communities and their representative organisations: the benefits of adopting a partnership approach are well documented, both in Australia [8][9][10] and internationally. 11,12 Within a local context, a partnership approach that incorporates proper recognition of the right of self-determination for Aboriginal people offers a solid foundation for improving collaborative efforts in the area of Aboriginal health.…”

Section: Partnerships and Self-determinationmentioning

confidence: 99%

Successful partnerships are the key to improving Aboriginal health

Bailey¹,

Hunt²

2012

NSW Public Health Bull.

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Section: Partnerships and Self-determinationmentioning

confidence: 99%

Successful partnerships are the key to improving Aboriginal health

Bailey¹,

Hunt²

2012

NSW Public Health Bull.

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“…Acknowledging the complex social factors contributing to poor Australian Indigenous health has resulted in considerable impetus to form intersectoral and intercultural partnerships to address these issues [21-25]. For example, to address the health impacts of poverty, poor housing and other social and cultural factors, ACCHS link clients to many organisations outside the health sector, often supporting external organisations to deliver services through the ACCHS.…”

mentioning

confidence: 99%

“…For example, to address the health impacts of poverty, poor housing and other social and cultural factors, ACCHS link clients to many organisations outside the health sector, often supporting external organisations to deliver services through the ACCHS. However, building such partnerships between Australian Indigenous and mainstream health services can be challenging and complex and are particularly affected by Australia’s historical and current context of race and political relations [25]. Indigenous health in Australia is a highly politicised and contested arena [26], with poor Indigenous health outcomes/indices widely attributed to colonisation and its ongoing expressions [27,28].…”

mentioning

confidence: 99%

“…Indigenous health in Australia is a highly politicised and contested arena [26], with poor Indigenous health outcomes/indices widely attributed to colonisation and its ongoing expressions [27,28]. With this in mind, mainstream health services must show commitment to fostering ‘genuine, trusting relationships that are tangibly linked to the Aboriginal community’ and avoid a ‘business as usual’ approach if they are to be successful ([25]: 297).…”

mentioning

confidence: 99%

“…This paper builds on the review conducted by Taylor and Thompson [25] that provides evidence of the importance of partnerships between Australian Indigenous and mainstream health services to improve Australian Indigenous health outcomes. The paper will add to their work by drawing on social theory to offer a framework to inform the establishment and development of such partnerships.…”

mentioning

confidence: 99%

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Examining the potential contribution of social theory to developing and supporting Australian Indigenous-mainstream health service partnerships

Haynes

Taylor

Durey

et al. 2014

Int J Equity Health

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IntroductionThe substantial gap in life expectancy between Indigenous and non-Indigenous Australians has been slow to improve, despite increased dedicated funding. Partnerships between Australian Indigenous and mainstream Western biomedical organisations are recognised as crucial to improved Indigenous health outcomes. However, these partnerships often experience challenges, particularly in the context of Australia’s race and political relations.MethodsWe examined the relevant literature in order to identify the potential role for social theory and theoretical models in developing and maintaining intercultural partnerships. Having identified relevant theoretical models, terms and possible key words, a range of databases were searched and relevant articles selected for inclusion. An integrative approach brought together theoretical models and practical considerations about working in partnership, to inform our analysis of the literature.FindingsConsidering partnerships between Australian Indigenous and mainstream health organisations as ‘bi-cultural’ is simplistic: rather they are culturally diverse across social and professional levels. As such, partnerships between Australian Indigenous and mainstream health organisations may be better conceptualised as ‘intercultural’, operating across diverse and shifting cultural frames of reference. Theories identified by this review as useful to guide partnerships include power relations, reflexivity and dialogue, borders and strangeness and the intercultural or third space. This paper examines how these theoretical approaches can develop understanding and improve intercultural engagement between mainstream and Australian Indigenous partners in healthcare.ConclusionsRather than viewing partnerships merely as arrangements between disembodied entities, sometimes contractual in nature, they are better seen as activities between people and organisations and essentially dependent on relationships, occurring in an intercultural space that is complex, dynamic and subject to changes in power relations. Theoretical models aiming to understand and improve partnerships indicate the complexity of building and maintaining such partnerships and stress the importance of understanding factors that can strengthen or derail their effectiveness. While the theories presented here are by no means exhaustive, they nonetheless provide a series of entry points through which to engage with the issue and expand the discourse. This approach allows the transformative nature of Australian Indigenous-mainstream ‘culture’ to be explored and understood in its lived expression; rather than relegated to prescriptive categories.

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“That makes all the difference”: Aboriginal and Torres Strait Islander health‐seeking on social media

Carlson

Frazer

Farrelly

2020

Health Prom J of Aust

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There has been significant scholarly interest in the opportunities social media provides for "health-seeking" -seeking help for issues of health and well-being -particularly for marginalised or hard-to-reach populations, including youth, the elderly and Indigenous people. [1][2][3] Online health-seeking is a complex phenomenon, however, often implicit rather than explicit, frequently difficult to identify or categorise and often not resulting in clearly positive health outcomes. 4 Moreover, health-seeking practices are formed and informed by social norms of behaviour, which shape what is considered "appropriate" online practice and what people feel safe or comfortable

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Closing the (service) gap: exploring partnerships between Aboriginal and mainstream health services

Cited by 59 publications

References 21 publications

Successful partnerships are the key to improving Aboriginal health

Successful partnerships are the key to improving Aboriginal health

Examining the potential contribution of social theory to developing and supporting Australian Indigenous-mainstream health service partnerships

“That makes all the difference”: Aboriginal and Torres Strait Islander health‐seeking on social media

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