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dc.contributor.authorKendall, Elizabeth
dc.contributor.authorBarnett, Leda
dc.date.accessioned2017-05-03T15:42:11Z
dc.date.available2017-05-03T15:42:11Z
dc.date.issued2015
dc.date.modified2014-08-19T04:43:27Z
dc.identifier.issn1355-7858
dc.identifier.doi10.1080/13557858.2014.921897
dc.identifier.urihttp://hdl.handle.net/10072/62547
dc.description.abstractObjective. 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.publisherRoutledge
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom437
dc.relation.ispartofpageto452
dc.relation.ispartofissue5
dc.relation.ispartofjournalEthnicity & Health
dc.relation.ispartofvolume20
dc.rights.retentionY
dc.subject.fieldofresearchStudies of Aboriginal and Torres Strait Islander Society
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchSociology
dc.subject.fieldofresearchCognitive Sciences
dc.subject.fieldofresearchcode169902
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1608
dc.subject.fieldofresearchcode1702
dc.titlePrinciples for the development of Aboriginal health interventions: culturally appropriate methods through systemic empathy
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Human Services and Social Work
gro.hasfulltextNo Full Text
gro.griffith.authorKendall, Elizabeth
gro.griffith.authorBarnett, Leda R.


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