ArticleBMJ open2013
Service providers' perspectives, attitudes and beliefs on health services delivery for Aboriginal people receiving haemodialysis in rural Australia: a qualitative study.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 36 citations in OpenAlex.
- Article
- Cultural Education Provided to Renal Staff Caring for First Nations People in Australia and Similarly Colonized Countries: A Scoping Review.Journal of renal care · 2025Article
- Exploring medical students' experiences with indigenous patient care: a phenomenological study.Medical education online · 2024Article
- The Right to Equal Health: Best Practice Priorities for Māori with Bipolar Disorder from Staff Focus Groups.Healthcare (Basel, Switzerland) · 2024Article
- Delivering health programs for Aboriginal and Torres Strait Islander children: Carer and staff views on what's important.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022Article
- Culturally competent, safe and equitable clinical care for Ma¯ori with bipolar disorder in New Zealand: The expert critique of Ma¯ori patients and Wha¯nau.The Australian and New Zealand journal of psychiatry · 2022Article
- Racism in healthcare: a scoping review.BMC public health · 2022Article
- Article
- Article
- Indigenous Land and Sea Management Programs (ILSMPs) Enhance the Wellbeing of Indigenous Australians.International journal of environmental research and public health · 2019Article
- Well-being and mental health interventions for Indigenous people in prison: systematic review.BJPsych open · 2019Article
- Cultural safety strategies for rural Indigenous palliative care: a scoping review.BMC palliative care · 2019Article
- Perspectives of healthcare providers on the nutritional management of patients on haemodialysis in Australia: an interview study.BMJ open · 2018Article
- Māori patients' experiences and perspectives of chronic kidney disease: a New Zealand qualitative interview study.BMJ open · 2017Article
- Article
- The perspectives of Aboriginal patients and their health care providers on improving the quality of hemodialysis services: a qualitative study.Hemodialysis international. International Symposium on Home Hemodialysis · 2015Article
- 'Beats the alternative but it messes up your life': aboriginal people's experience of haemodialysis in rural Australia.BMJ open · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveProviding services to rural dwelling minority cultural groups with serious chronic disease is challenging due to access to care and cultural differences. This study aimed to describe service providers' perspectives on health services delivery for Aboriginal people receiving haemodialysis for end-stage kidney disease in rural Australia.
designSemistructured interviews, thematic analysis
settingA health district in rural New South Wales, Australia
participantsUsing purposive sampling, 29 renal and allied service providers were recruited, including nephrologists, renal nurses, community nurses, Aboriginal health workers, social workers and managers. Six were Aboriginal and 23 non-Aboriginal.
resultsImproving cultural understanding within the healthcare system was central to five themes identified: rigidity of service design (outreach, inevitable home treatment failures, pressure of system overload, limited efficacy of cultural awareness training and conflicting priorities in acute care); responding to social complexities (respecting but challenged by family obligations, assumptions about socioeconomic status and individualised care); promoting empowerment, trust and rapport (bridging gaps in cultural understanding, acknowledging the relationship between land, people and environment, and being time poor); distress at late diagnosis (lost opportunities and prioritise prevention); and contending with discrimination and racism (inherent judgement of lifestyle choices, inadequate cultural awareness, pervasive multilevel institutionalised racism and managing patient distrust).
conclusionsService providers believe current services are not designed to address cultural needs and Aboriginality, and that caring for Aboriginal patients receiving haemodialysis should be family focused and culturally safer. An Aboriginal-specific predialysis pathway, building staff cultural awareness and enhancing cultural safety within hospitals are the measures recommended. Increasing patient support for home haemodialysis may improve health and the quality of care outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.