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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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A Comprehensive Review of Optimal Approaches to Co-Design in Health with First Nations Australians.

Tamara Butler1, Alana Gall1,2, Gail Garvey1

  • 1School of Public Health, Faculty of Medicine, The University of Queensland, Herston 4006, Australia.

International Journal of Environmental Research and Public Health
|December 11, 2022
PubMed
Summary

Co-design in health with First Nations Australians requires strong leadership and culturally safe practices. This review identifies key themes for effective and respectful community-led health initiatives.

Keywords:
Aboriginal and Torres Strait Islander peopleFirst Nations peoplescancerco-designcommunity engagementcomprehensive reviewparticipatory action research

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Area of Science:

  • Public Health
  • Indigenous Health Research
  • Health Equity

Background:

  • Australia's context, including colonization, creates health disparities for First Nations Australians.
  • A First Nations-led approach is crucial for addressing these inequities.
  • Co-design is a promising method for community-driven health policy and practice, but requires cultural safety.

Purpose of the Study:

  • To identify evidence on optimal co-design approaches in health for First Nations Australians.
  • To guide culturally safe and effective co-design practices.

Main Methods:

  • A comprehensive literature review was conducted by a First Nations Australian co-led team.
  • A First Nations Co-Design Working Group guided the review process.
  • Collaborative Yarning Methodology (CYM) was used for thematic analysis of 99 studies.

Main Results:

  • Six key themes emerged from the analysis of 99 studies.
  • Themes include: First Nations leadership, culturally grounded approaches, respect, community benefit, inclusive partnerships, and evidence-based decision-making.
  • 28 practical sub-themes provide detailed guidance for co-design implementation.

Conclusions:

  • This review offers a foundational understanding of current evidence for co-design with First Nations Australians.
  • Findings will inform appropriate and effective applications of co-design in Indigenous health.
  • Emphasizes the need for culturally safe and community-led health interventions.