Better cardiac care - the patient experience - a qualitative study

Area of Science:

• Indigenous Health
• Cardiology
• Health Services Research

Background:

• A multidisciplinary care model, Better Cardiac Care (BCC), was implemented in 2015 for Aboriginal and Torres Strait Islander cardiac patients.
• While clinical indicators improved, patient perspectives on the BCC model were not yet understood.

Purpose of the Study:

• To explore the acceptability and appropriateness of the BCC model from patient and family viewpoints.
• To identify valuable features and areas for improvement within the BCC model.

Main Methods:

• A descriptive qualitative study using narrative methodology and yarning sessions.
• Involved patients and family members sharing their experiences with the BCC model.
• Analysis was informed by Aboriginal and Torres Strait Islander perspectives on Being, Knowing, and Doing.

Main Results:

• Relationality between patients and Aboriginal and Torres Strait Islander staff was central to the BCC model.
• Staff demonstrated understanding of patient challenges, including racism and disempowerment.
• Holistic care and advocacy were provided, though family support and handover needed enhancement.

Conclusions:

• Empowering Indigenous staff and fostering patient-centered relationships improved care and outcomes.
• The health system and academia should value Indigenous approaches to relationality in healthcare.