Exploring Aboriginal patients’ experiences of cardiac care at a major metropolitan hospital in Melbourne

Worrall‐Carter, Linda; Daws, Karen; Rahman, Muhammad Aziz; MacLean, Sarah; Rowley, Kevin; Andrews, Shawana; MacIsaac, A.; Lau, Phyllis; McEvedy, Samantha; Willis, John; Arabena, Kerry

doi:10.1016/j.hlc.2015.06.763

Cited by 6 publications

(23 citation statements)

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“…The age of participants ranged from 24 to 89 years old. The included studies were conducted in 6 different countries: 15 in the United States [ 8 , 26 – 39 ], 3 in the United Kingdom [ 40 – 42 ], 2 in Australia [ 43 , 44 ], 1 in Canada [ 45 ], Spain [ 46 ] and Hong Kong [ 47 ] respectively. 11 studies reported findings from the African American community, 2 each from the Pakistani, Indigenous Australian and South Asian communities and 1 each from the African Caribbean, Latin American, Native American, Roma and Iranian communities.…”

Section: Resultsmentioning

confidence: 99%

“…Minority patients reported that healthcare providers ignored or rushed them during their clinical interactions [ 32 , 40 , 41 , 44 , 47 ]. Some patients further stated that they received less priority and were unfairly skipped over by patients of perceived privileged races [ 29 , 31 , 32 , 34 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some African American patients were also denied medications due to race-based assumptions by healthcare providers that they were drug users [ 32 , 37 ]. In the same vein, patients concurred and felt that providers treated them like a homogenous group without varying needs or beliefs [ 44 – 46 ]. For instance, providers made sweeping generalizations that African American patients had overactive sex lives [ 26 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

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The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review

Sim

Lim

et al. 2021

PLoS ONE

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Objective To understand racial bias in clinical settings from the perspectives of minority patients and healthcare providers to inspire changes in the way healthcare providers interact with their patients. Methods Articles on racial bias were searched on Medline, CINAHL, PsycINFO, Web of Science. Full text review and quality appraisal was conducted, before data was synthesized and analytically themed using the Thomas and Harden methodology. Results 23 articles were included, involving 1,006 participants. From minority patients’ perspectives, two themes were generated: 1) alienation of minorities due to racial supremacism and lack of empathy, resulting in inadequate medical treatment; 2) labelling of minority patients who were stereotyped as belonging to a lower socio-economic class and having negative behaviors. From providers’ perspectives, one theme recurred: the perpetuation of racial fault lines by providers. However, some patients and providers denied racism in the healthcare setting. Conclusion Implicit racial bias is pervasive and manifests in patient-provider interactions, exacerbating health disparities in minorities. Beyond targeted anti-racism measures in healthcare settings, wider national measures to reduce housing, education and income inequality may mitigate racism in healthcare and improve minority patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review

Sim

Lim

et al. 2021

PLoS ONE

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“…One of the factors contributing to Indigenous health disparity lies in how Indigenous peoples experience hospitalisation in terms of their perception, expectation and interpretation of their healthcare encounters (Chapman, Smith, & Martin, ; Shahid, Finn, Bessarab, & Thompson, ; Worrall‐Carter et al., ). These studies demonstrate that they are faced with common challenges when encountering health care, such as language barriers, the need to relocate to access services and cultural isolation.…”

Section: Introductionmentioning

confidence: 99%

Indigenous cardiac patients’ and relatives’ experiences of hospitalisation: A narrative inquiry

Mbuzi

Fulbrook

Jessup

2017

Journal of Clinical Nursing

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Healthcare professionals need to understand Indigenous people's perspectives that contribute to improved health outcomes. Stories of participants' experiences may assist in the identification of aspects which might further the development of culturally appropriate continuity models that could effectively provide support throughout Indigenous people's hospital journeys, and beyond the hospital, and help improve associated health outcomes.

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“…Our results contribute to what is continuously cited as a barrier to highquality care for Aboriginal Australians when in hospital. [20][21][22] Poor communication from staff, financial stressors and disrespect for Aboriginal cultural norms are barriers to Aboriginal families accessing necessary health services, thereby impacting on their overall health outcomes. Our findings suggest that while healthcare providers deliver evidencebased care, they also need to communicate respectfully with Aboriginal Australians to strengthen relationships and create a more inclusive environment that contributes to Aboriginal patients feeling culturally safe.…”

Section: Discussionmentioning

confidence: 99%

Understanding an Aboriginal and Torres Strait Islander child’s journey through paediatric care in Western Australia

Strobel

Moylan

Durey

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective: To explore caregiver perspectives of their children’s journey through the specialist paediatric service, the Aboriginal Ambulatory Care Coordination Program (AACC), and non‐AACC services at the Perth Children’s Hospital. Methods: Eighteen semi‐structured interviews with families of Aboriginal children were completed. Indigenous research methodology and a phenomenological approach guided data collection and analysis. Results: Four key themes were identified from interviews: hospital admissions, discharge and follow‐up outpatient appointments; communication; financial burden; and cultural issues. Our findings suggest Aboriginal children and their caregivers using the AACC program had more positive and culturally secure experiences than those using non‐AACC services. However, barriers relating to health providers’ understanding of Aboriginal cultural issues and lived experience were commonly discussed, regardless of which service families received. Conclusions: Australian Aboriginal children have an increased use of tertiary hospital care compared to non‐Indigenous children. Healthcare programs specifically designed for Aboriginal children and their families can improve their experience of care in hospital. However, improvements in cultural awareness for other hospital staff is still needed. Implications for public health: Dedicated Aboriginal programs in mainstream services can successfully improve cultural care to their clients, which is fundamental to improving service delivery for families.

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Exploring Aboriginal patients’ experiences of cardiac care at a major metropolitan hospital in Melbourne

Abstract: Conclusions: Despite higher rates of baseline comorbidities and presentation with MI, Indigenous Australians do not have worse in-patient outcomes following PCI. Given the higher rates of baseline co-morbidities, it will be essential to determine long-term outcomes.

Cited by 6 publications

References 0 publications

The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review

The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review

Indigenous cardiac patients’ and relatives’ experiences of hospitalisation: A narrative inquiry

Understanding an Aboriginal and Torres Strait Islander child’s journey through paediatric care in Western Australia

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