Optimal Cancer Care for Aboriginal and Torres Strait Islander People: A Shared Approach to System Level Change

作者：Jennifer Chynoweth, Meaghan M. McCambridge, Helen Zorbas, Jacinta Elston, Robert J. S. Thomas, William Glasson, Joanna Coutts, Barbara A Daveson, Kathryn Whitfield · 发表于：JCO Global Oncology · 年份：2020 · DOI：10.1200/jgo.19.00076 · 被引用次数：20 · 研究领域：Indigenous Health, Education, and Rights、Global Cancer Incidence and Screening、Indigenous Studies and Ecology

PURPOSE: To improve cancer outcomes for Aboriginal and Torres Strait Islander people through the development and national endorsement of the first population-specific optimal care pathway (OCP) to guide the delivery of high-quality, culturally appropriate, and evidence-based cancer care. METHODS: An iterative methodology was undertaken over a 2-year period, and more than 70 organizations and individuals from diverse cultural, geographic, and sectorial backgrounds provided input. Cancer Australia reviewed experiences of care and the evidence base and undertook national public consultation with the indigenous health sector and community, health professionals, and professional colleges. Critical to the OCP development was the leadership of Aboriginal and Torres Strait Islander health experts and consumers. RESULTS: The OCP received unanimous endorsement by all federal, state, and territory health ministers. Key elements of the OCP include attention to the cultural appropriateness of the health care environment; improvement in cross-cultural communication; relationship building with local community; optimization of health literacy; recognition of men's and women's business; and the need to use culturally appropriate resources. The OCP can be used as a tool for health services and health professionals to identify gaps in current cancer services and to inform quality improvement initiatives across all aspects of the care pathway. CONCLUSION: The development of the OCP identified a ...