One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people

Newman, Christy E.; Gray, Rebecca; Brener, Loren; Jackson, Leanne; Johnson, Priscilla; Saunders, Veronica; Harris, Magdalena; Butow, Phyllis; Treloar, Carla

doi:10.1080/13557858.2012.754408

Cited by 23 publications

(26 citation statements)

References 27 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with recent studies (Newman et al . ; Dwyer et al . ), participants in our study explained that providing standard care for all or by treating all patients the same within the limits of the existing system helps to manage the complex needs of a diverse population.…”

Section: Discussionmentioning

confidence: 99%

Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians

et al. 2016

View full text Add to dashboard Cite

To investigate health professionals' perspectives about factors that impede or facilitate cancer care for Indigenous people. Semi-structured interviews with 22 health professionals involved in Indigenous cancer care. Data were interpreted using an inductive thematic analysis approach. Participants presented their perspectives on a number of barriers and enablers to Indigenous cancer care. Barriers were related to challenges with communication, the health system and coordination of care, issues around individual and community priorities and views of cancer treatment and health professional judgement. Enablers to cancer care were related to the importance of trust and rapport as well as health care system and support factors. The findings highlighted the need for recording of Indigenous status in medical records and a coordinated approach to the provision of evidence-based and culturally appropriate cancer care. This could go some way to improving Indigenous patient's engagement with tertiary cancer care services.

show abstract

Section: Discussionmentioning

confidence: 99%

Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians

et al. 2016

View full text Add to dashboard Cite

show abstract

“…A qualitative study in NSW identified several cultural barriers between Aboriginal people and mainstream cancer services that may be subtly contributing to lower usage or acceptability of some cancer treatments. In particular it identified lower cancer literacy for Aboriginal people [31], a feeling of a lack of social inclusion when in hospital settings [32], and the need for health services to openly discuss and address cultural differences in service delivery [33]. …”

Section: Discussionmentioning

confidence: 99%

Increasing rates of surgical treatment and preventing comorbidities may increase breast cancer survival for Aboriginal women

Supramaniam¹,

Gibberd

Dillon

et al. 2014

BMC Cancer

View full text Add to dashboard Cite

BackgroundLower breast cancer survival has been reported for Australian Aboriginal women compared to non-Aboriginal women, however the reasons for this disparity have not been fully explored. We compared the surgical treatment and survival of Aboriginal and non-Aboriginal women diagnosed with breast cancer in New South Wales (NSW), Australia.MethodsWe analysed NSW cancer registry records of breast cancers diagnosed in 2001–2007, linked to hospital inpatient episodes and deaths. We used unconditional logistic regression to compare the odds of Aboriginal and non-Aboriginal women receiving surgical treatment. Breast cancer-specific survival was examined using cumulative mortality curves and Cox proportional hazards regression models.ResultsOf the 27 850 eligible women, 288 (1.03%) identified as Aboriginal. The Aboriginal women were younger and more likely to have advanced spread of disease when diagnosed than non-Aboriginal women. Aboriginal women were less likely than non-Aboriginal women to receive surgical treatment (odds ratio 0.59, 95% confidence interval (CI) 0.42-0.86). The five-year crude breast cancer-specific mortality was 6.1% higher for Aboriginal women (17.7%, 95% CI 12.9-23.2) compared with non-Aboriginal women (11.6%, 95% CI 11.2-12.0). After accounting for differences in age at diagnosis, year of diagnosis, spread of disease and surgical treatment received the risk of death from breast cancer was 39% higher in Aboriginal women (HR 1.39, 95% CI 1.01-1.86). Finally after also accounting for differences in comorbidities, socioeconomic disadvantage and place of residence the hazard ratio was reduced to 1.30 (95% CI 0.94-1.75).ConclusionPreventing comorbidities and increasing rates of surgical treatment may increase breast cancer survival for NSW Aboriginal women.

show abstract

“…Cardiovascular disease is the leading cause of death in Indigenous Australians 9 . Cancer is the second biggest killer: the mortality rate for some cancers is three times higher for Indigenous than for non‐Indigenous Australians 10 . Clinical leaders in these two disease areas have identified the need for culturally safe health care to improve Indigenous health outcomes.…”

mentioning

confidence: 99%

“…Newman and colleagues 10 identified clinician reliance on stereotypical narratives of indigeneity in informing cancer care services. Redressing these taken‐for‐granted assumptions led to culturally engaged and more effective cancer care.…”

mentioning

confidence: 99%

Embedding cultural safety in Australia's main health care standards

Laverty¹,

McDermott

Calma

2017

Medical Journal of Australia

125

107

View full text Add to dashboard Cite

One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people

Cited by 23 publications

References 27 publications

Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians

Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians

Increasing rates of surgical treatment and preventing comorbidities may increase breast cancer survival for Aboriginal women

Embedding cultural safety in Australia's main health care standards

Contact Info

Product

Resources

About