Improving eye care for <scp>I</scp>ndigenous <scp>A</scp>ustralians in primary health care settings

Boudville, Andrea I; Anjou, Mitchell D; Taylor, Hugh R.

doi:10.1111/ajr.12014

Cited by 10 publications

(25 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study indicates that the provision of health literacy on chronic wet cough will be a vital enabler to facilitating health seeking. Our findings are consistent with previous studies on middle ear and eye diseases, which found that Aboriginal people would seek help earlier if they had recognised and understood that their child was sick . An important barrier to health seeking for many parents was that key health messages about chronic wet cough in children had previously not been communicated by health staff.…”

Section: Discussionsupporting

confidence: 89%

“…Our findings are consistent with previous studies on middle ear and eye diseases, which found that Aboriginal people would seek help earlier if they had recognised and understood that their child was sick. 18,22 An important barrier to health seeking for many parents was that key health messages about chronic wet cough in children had previously not been communicated by health staff. The significance of chronic wet cough may not yet be well understood by many health practitioners and even less by the general public because PBB, the most common cause of chronic wet cough in children in Australia, 23 was only officially recognised by the Thoracic Society of New Zealand and Australia in 2006 21 and by the British Thoracic Society in 2008.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic wet cough in Aboriginal children: It's not just a cough

D'Sylva

Walker

Lane

et al. 2018

J Paediatrics Child Health

View full text Add to dashboard Cite

Aim Chronic respiratory disease is common among Aboriginal Australians. Chronic wet cough is an early marker of chronic disease in children but often goes undetected due, in part, to delayed health seeking by families. Currently, no studies have examined the reasons for delayed health seeking for children's chronic cough. To identify the barriers to, and enablers for, seeking medical help for chronic wet cough in Aboriginal children. Methods This was a qualitative study, gathering data through individual semi‐structured, in‐depth interviews and focus groups to ascertain Aboriginal family knowledge, attitudes and beliefs about seeking health care for chronic wet cough in children in a regional Kimberley town, Western Australia between October 2017 and March 2018. Results Forty Aboriginal community members participated. The three key barriers identified were: ‘Cough normalisation’, that is, 70% of participants considered chronic cough normal (with 53% of participants' previous interactions with doctors informing their understanding of chronic cough); the lack of health literacy information; and a sense of disempowerment (belief that no medical action would be taken and inability to challenge doctors). The key expressed enablers were provision of health literacy information and health practitioner training to assess and treat chronic wet cough in children. All participants reported that they would seek help for chronic wet cough once they were informed that it could signify underlying disease. Conclusion Results highlight the need for a culturally appropriate information and education to inform Aboriginal families and their health practitioners of the importance of chronic wet cough in children.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Chronic wet cough in Aboriginal children: It's not just a cough

D'Sylva

Walker

Lane

et al. 2018

J Paediatrics Child Health

View full text Add to dashboard Cite

show abstract

“…Seventeen of the eighteen studies clearly described the target population and the goals of the effort. Boudville and colleagues detailed both of these principles as they evaluated access to eye care in a primary care setting in Aboriginal communities[15]. Their qualitative, mixed method study used knowledge of the community to further elucidate the role of primary care providers in eye health.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of community-engaged research in ophthalmology

Nwanyanwu

Nardini

Shaughness

et al. 2017

Expert Review of Ophthalmology

View full text Add to dashboard Cite

Introduction Community-engaged research (CEnR) allows researchers and community organizations to partner together to improve health outcomes and to decrease health disparities. While prevalent in other fields of medicine, it is rarely used in ophthalmology. Areas covered A comprehensive search of Ovid MEDLINE, NLM Pubmed, Ovid Embase, Scopus and the Cochrane Library for the Medical Subject Headings (MeSH) “Community-based participatory research” and text word variations including participatory research, community engagement, community research, partnered research, community-institutional relations, CENR, CBPR in addition to variations on ophthalmology, eye diseases, vision disorders and eye injuries yielded 451 unique references. Two ophthalmologists (KN, PANC) reviewed the titles and abstracts and identified 37 relevant studies. Expert consultation yielded an additional reference. After reviewing the full texts and excluding non-English texts, 18 articles met the necessary criteria. The eighteen articles all utilized at least one of the nine principles of CEnR. Expert commentary Ophthalmology is perfectly positioned to benefit from CEnR. Increased community engagement in ophthalmic research would expand the reach of our work and address some of the most difficult problems in vision disparities and outcomes.

show abstract

“…Our results are significantly less than this, and this would seem to reflect the failure to record in the clinical records the trachoma examinations conducted by the jurisdictional trachoma screening programs. Improved coordination between external trachoma screening services and PHC centers will enable PHC centers to continue to make a significant contribution toward closing the gap for vision in Australia (9). …”

Section: Discussionmentioning

confidence: 99%

“…Hence, PHC centers play a crucial role in eye care (9), especially for patients with diabetes (7). Basic eye and vision screening assessments are conducted during routine health assessments such as the Aboriginal and Torres Strait Islander Health Assessment (10).…”

Section: Introductionmentioning

confidence: 99%

Delivery of Eye and Vision Services in Aboriginal and Torres Strait Islander Primary Healthcare Centers

Burnett

Morse

Naduvilath

et al. 2016

Front. Public Health

Self Cite

View full text Add to dashboard Cite

BackgroundRoutine eye and vision assessments are vital for the detection and subsequent management of vision loss, which is particularly important for Aboriginal and Torres Strait Islander people who face higher rates of vision loss than other Australians. In order to guide improvements, this paper will describe patterns, variations, and gaps in these eye and vision assessments for Aboriginal and Torres Strait Islander people.MethodsClinical audits from 124 primary healthcare centers (sample size 15,175) from five Australian states and territories were conducted during 2005–2012. Main outcome measure was adherence to current guidelines for delivery of eye and vision assessments to adults with diabetes, those without a diagnosed major chronic disease and children attending primary healthcare centers.ResultsOverall delivery of recommended eye and vision assessments varied widely between health centers. Of the adults with diabetes, 46% had a visual acuity assessment recorded within the previous 12 months (health center range 0–88%) and 33% had a retinal examination recorded (health center range 0–73%). Of the adults with no diagnosed major chronic disease, 31% had a visual acuity assessment recorded within the previous 2 years (health center range 0–86%) and 13% had received an examination for trichiasis (health center range 0–40%). In children, 49% had a record of a vision assessment (health center range 0–97%) and 25% had a record of an examination for trachoma within the previous 12 months (health center range 0–100%).ConclusionThere was considerable range and variation in the recorded delivery of scheduled eye and vision assessments across health centers. Sharing the successful strategies of the better-performing health centers to support focused improvements in key areas of need may increase overall rates of eye examinations, which is important for the timely detection, referral, and treatment of eye conditions affecting Aboriginal and Torres Strait Islander people, especially for those with diabetes.

show abstract

Improving eye care for Indigenous Australians in primary health care settings

Cited by 10 publications

References 12 publications

Chronic wet cough in Aboriginal children: It's not just a cough

Chronic wet cough in Aboriginal children: It's not just a cough

Systematic review of community-engaged research in ophthalmology

Delivery of Eye and Vision Services in Aboriginal and Torres Strait Islander Primary Healthcare Centers

Contact Info

Product

Resources

About