Evidence map›Paper›PMID 34615570›Full record

ArticlePrimary health care research & development2021

Aboriginal community-controlled aged care: principles, practices and actions to integrate with primary health care.

Anna Dawson, Stephen Harfield, Carol Davy, Anna Baker, Elaine Kite, Graham Aitken, Kim Morey, Annette Braunack-Mayer, Alex Brown

Abstract read
In one paragraph

Article in Primary health care research & development, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Concerted Model of Healthcare for Awá Indigenous of Nariño, Colombia.International journal of environmental research and public health · 2022
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anna DawsonWardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, Australia.ORCID 0000-0002-9347-0540
Stephen HarfieldWardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, Australia.
Carol DavyThe Society of Saint Hilarion, Adelaide, Australia.
Anna BakerInstitute for Urban Indigenous Health, Brisbane, Australia.
Elaine KiteWardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, Australia.
Graham AitkenAboriginal Community Services, Adelaide, South Australia.
Kim MoreyWardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, Australia.
Annette Braunack-MayerSchool of Health and Society, University of Wollongong, Wollongong, Australia.
Alex BrownWardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify: 1) best practice aged care principles and practices for Aboriginal and Torres Strait Islander older peoples, and 2) actions to integrate aged care services with Aboriginal community-controlled primary health care.

backgroundThere is a growing number of older Aboriginal and Torres Strait Islander peoples and an unmet demand for accessible, culturally safe aged care services. The principles and features of aged care service delivery designed to meet the unique needs of Aboriginal and Torres Strait Islander peoples have not been extensively explored and must be understood to inform aged care policy and primary health care planning into the future.

methodsThe research was governed by leaders from across the Aboriginal community-controlled primary health care sector who identified exemplar services to explore best practice in culturally aligned aged care. In-depth case studies were undertaken with two metropolitan Aboriginal community-controlled services. We conducted semi-structured interviews and yarning circles with 46 staff members to explore key principles, ways of working, enablers and challenges for aged care service provision. A framework approach to thematic analysis was undertaken with emergent findings reviewed and refined by participating services and the governance panel to incorporate national perspectives.

findingsA range of principles guided Aboriginal community-controlled aged care service delivery, such as supporting Aboriginal and Torres Strait Islander identity, connection with elders and communities and respect for self-determination. Strong governance, effective leadership and partnerships, Aboriginal and Torres Strait Islander workforce and culturally safe non-Indigenous workforce were among the identified enablers of aged care. Nine implementation actions guided the integration of aged care with primary health care service delivery. Funding limitations, workforce shortages, change management processes and difficulties with navigating the aged care system were among the reported challenges. These findings contribute to an evidence base regarding accessible, integrated, culturally safe aged care services tailored to the needs of Aboriginal and Torres Strait Islander peoples.

Indexed as

Health Services, IndigenousAgedCommunity Health ServicesDelivery of Health CareHumansPrimary Health CareAboriginal and Torres Strait IslanderAboriginal community controlaged careIndigenous

Identifiers

PMID34615570
PMCPMC8515303

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.