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  • Principles for the development of Aboriginal health interventions: culturally appropriate methods through systemic empathy

    Author(s)
    Kendall, Elizabeth
    Barnett, Leda
    Griffith University Author(s)
    Kendall, Elizabeth
    Barnett, Leda R.
    Year published
    2015
    Metadata
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    Abstract
    Objective. To increase Aboriginal participation in mainstream health services, it is necessary to understand the factors that influence health service usage. This knowledge can contribute to the development of culturally appropriate health services that respect Aboriginal ways of being. Design. We used a community-based participatory approach to examine the reasons for underutilization of health services by Aboriginal Australians. Results. Based on three focus groups and 18 interviews with Aboriginal health professionals, leaders, and community members in rural, regional, and urban settings, we identified five factors that ...
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    Objective. To increase Aboriginal participation in mainstream health services, it is necessary to understand the factors that influence health service usage. This knowledge can contribute to the development of culturally appropriate health services that respect Aboriginal ways of being. Design. We used a community-based participatory approach to examine the reasons for underutilization of health services by Aboriginal Australians. Results. Based on three focus groups and 18 interviews with Aboriginal health professionals, leaders, and community members in rural, regional, and urban settings, we identified five factors that influenced usage, including (1) negative historical experiences, (2) cultural incompetence, (3) inappropriate communication, (4) a collective approach to health, and (5) a more holistic approach to health. Conclusion. Given that these factors have shaped negative Aboriginal responses to health interventions, they are likely to be principles by which more appropriate solutions are generated. Although intuitively sensible and well known, these principles remain poorly understood by non-Aboriginal health systems and even less well implemented. We have conceptualized these principles as the foundation of an empathic health system. Without empathy, health systems in Australia, and internationally, will continue to face the challenge of building effective services to improve the state of health for all minority populations.
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    Journal Title
    Ethnicity & Health
    Volume
    20
    Issue
    5
    DOI
    https://doi.org/10.1080/13557858.2014.921897
    Subject
    Sociology
    Aboriginal and Torres Strait Islander sociology
    Cognitive and computational psychology
    Publication URI
    http://hdl.handle.net/10072/62547
    Collection
    • Journal articles

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    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander