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首页> 外文期刊>Evaluation and program planning >Experiences of health service providers establishing an Aboriginal- Mainstream partnership to improve maternity care for Aboriginal and Torres Strait Islander families in an urban setting
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Experiences of health service providers establishing an Aboriginal- Mainstream partnership to improve maternity care for Aboriginal and Torres Strait Islander families in an urban setting

机译：卫生服务提供者建立土著与主流伙伴关系以改善城市环境中土著和托雷斯海峡岛民家庭的产妇保健的经验

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摘要

Australian policy encourages multiagency partnerships between hospitals and Aboriginal Community Controlled Health Organisations to improve the health of Aboriginal and Torres Strait Islander people. Service planners remain unsure about how to implement such partnerships in maternity care, and there is a lack of appropriate tools designed to gauge the state of such partnerships for the Australian Indigenous context. In 2013, two Aboriginal health services and a major tertiary hospital partnered to deliver best practice maternity care to Indigenous families in Brisbane, Australia. A participatory action research approach underpinned this study. Semi-structured qualitative interviews and focus groups were conducted with 21 of the partnership staff. All interviewees emphasized the partnership's commitment to improving long-term health and wellbeing for Indigenous families. Strategic planners were more likely to report a positive partnership than staff involved in service delivery who had diverse views. This highlights the challenges of change management when conducting such a significant service redesign in this cross-cultural context. We detail changes made within the partnership in response to the findings and provide suggestions for future development of an evaluation tool to review the state of Aboriginal-Mainstream Partnerships.
机译：澳大利亚的政策鼓励医院与原住民社区控制的卫生组织之间建立多机构合作关系，以改善原住民和托雷斯海峡岛民的健康。服务计划人员仍不确定如何在孕产保健中实施这种伙伴关系，并且缺乏适当的工具来衡量澳大利亚土著背景下这种伙伴关系的状况。 2013年，两家原住民卫生服务机构和一家大型三级医院合作为澳大利亚布里斯班的土著家庭提供了最佳实践的产妇护理。参与式行动研究方法为该研究奠定了基础。与21位合伙人进行了半结构化的定性访谈和焦点小组讨论。所有受访者都强调了合作伙伴关系致力于改善土著家庭的长期健康和福祉的承诺。与参与服务交付的工作人员意见不同，战略计划者更有可能报告积极的合作关系。这突显了在这种跨文化背景下进行如此重要的服务重新设计时变更管理所面临的挑战。我们将详细介绍合作伙伴关系中根据调查结果所做的更改，并为将来开发评估土著-主流合作伙伴关系状态的评估工具提供建议。

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