对与土著和托雷斯海峡岛民的文化安全和响应性医疗保健实践的审计工具:一个范围审查
Jessica Muller1, Susan Devine2, Lynore Geia3,4
1College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia jessica.muller@jcu.edu.au.
BMJ global health
|January 29, 2024
概括
目前对土著和托雷斯海峡岛民医疗保健的文化安全审计工具缺乏全面的评估和可操作性. 需要进一步的研究来开发和实施有效的工具,以实现可持续的,文化响应的医疗保健.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 在医疗保健中的文化能力.
背景情况:
- 原住民和托雷斯海峡岛民经历了显著的健康差异.
- 现有的文化安全和响应框架需要对问责制和可持续性进行强有力的审计.
- 需要有效的工具来评估和改进文化安全的医疗保健实践.
研究的目的:
- 对原住民和托雷斯海峡岛民医疗保健服务的现有文化安全审计工具进行审查.
- 确定这些审计工具实施的促进者和障碍.
- 评估审计工具与澳大利亚土著健康协会 (IAHA) 文化响应在行动框架中的协调性.
主要方法:
- 在多个数据库 (Medline,Scopus,CINAHL,Informit,PsychInfo) 中进行了范围审查.
- 文章描述了对土著和托雷斯海峡岛民的医疗保健实践的审计工具.
- 选择的工具与六个IAHA能力进行了评估,并确定了实施因素.
主要成果:
- 包括15篇论文,审计工具在设计和验证方面有所不同.
- 七个工具报告了强大的可靠性和有效性;只有一个报告了工具评估.
- 促进者包括工具结构和组织承诺;障碍包括时间限制和缺乏问责制.
- 工具主要反映了"尊重文化的中心性"和"包容性参与"IAHA的能力.
结论:
- 现有的文化安全审计工具显示评估有限,并未完全涵盖所有文化响应能力.
- 进一步的研究对于开发以行动为导向的工具,以确保医疗保健的有效性和可持续性至关重要.
- 改进的审计机制对于推动文化安全医疗保健提供有意义的变化至关重要.
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