土著人和托雷斯海峡岛民社区控制的卫生组织的工作方式：描述综合初级卫生保健特征的概念模型

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI:10.1016/j.anzjph.2025.100267

Anna Dawson , Louise Lyons (Jaadwa) , Kim Morey (Anmatyerre/Eastern Arrernte) , Odette Pearson (Kuku Yalanji/Torres Strait Islander) , Stephen Harfield (Narungga/Ngarrindjeri) , Tracey Brand (Eastern Arrente) , Karrina DeMasi (Barkindji) , Eddie Mulholland (Torres Strait Islands – ERUB) , Edoardo Aromataris , Annette Braunack-Mayer , Alex Brown (Yuin)

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引用次数: 0

摘要

目的：本研究旨在描述土著和托雷斯海峡岛民社区控制卫生组织（ATSICCHO）初级卫生保健的概念模型，以及ATSICCHO在解决土著和托雷斯海峡岛民实现公平结果所需的关键服务差距方面发挥的基本作用。方法satsiccho代表主导研究过程。一个顺序的混合方法来阐明ATSICCHO模型借鉴了范围审查证据，案例研究证据和专家咨询。结果文化是ATSICCHO服务提供的核心，并与九个独立的特征相关联：自决和赋权、社区控制和社区参与、文化上适当和熟练的劳动力、整体卫生保健、可获得的卫生服务、灵活和响应的护理方法、关系建立和宣传、全面的健康促进和持续的质量改进。原住民和托雷斯海峡岛民的治理、领导和劳动力是共同的推动因素，而挑战往往与资金、劳动力招聘和与多个合作伙伴建立关系有关。结论sicchos是以文化为中心、全面和可获得的初级保健的典范，并赋予土著和托雷斯海峡岛民权力。该模型可以指导ATSICCHO部门的扩展，并为更广泛的澳大利亚卫生系统提供全面的初级卫生保健见解。

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查看原文本刊更多论文

Ways of working in Aboriginal and Torres Strait Islander Community Controlled Health Organisations: describing a conceptual model of comprehensive primary healthcare characteristics

Objective

This research sought to describe a conceptual model of Aboriginal and Torres Strait Islander Community Controlled Health Organisation (ATSICCHO) primary health care, and the fundamental role ATSICCHOs exercise in addressing critical service gaps needed to achieve equitable outcomes for Aboriginal and Torres Strait Islander peoples.

Methods

ATSICCHO representatives governed the research process. A sequential mixed-method approach for articulating the ATSICCHO model drew upon scoping review evidence, case study evidence, and expert consultations.

Results

Culture is central to ATSICCHO service delivery and entwined within nine discrete characteristics: self-determination and empowerment, community control and community participation, culturally appropriate and skilled workforce, holistic health care, accessible health services, flexible and responsive approach to care, relationship building and advocacy, comprehensive health promotion and continuous quality improvement. Aboriginal and Torres Strait Islander governance, leadership and workforce are common enablers, and challenges often relate to funding, workforce recruitment and building relationships with multiple partners.

Conclusion

ATSICCHOs exemplify culturally-centred, comprehensive and accessible primary health care and empower Aboriginal and Torres Strait Islander people.

Implications for Public Health

This model can guide the expansion of the ATSICCHO sector and offer comprehensive primary health care insights to the broader Australian health system.

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.