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Journal article
Respiratory follow-up to improve outcomes for Aboriginal children: twelve key steps
The Lancet regional health. Western Pacific, Vol.15, 100239
2021
PMID: 34528014
Abstract
Background: Among Aboriginal children, the burden of acute respiratory tract infections (ALRIs) with consequent bronchiectasis post-hospitalisation is high. Clinical practice guidelines recommend medical follow-up one-month following discharge, which provides an opportunity to screen and manage persistent symptoms and may prevent bronchiectasis. Medical follow-up is not routinely undertaken in most centres. We aimed to identify barriers and facilitators and map steps required for medical follow-up of Aboriginal children hospitalised with ALRIs.
Methods: Our qualitative study used a knowledge translation and participatory action research approach, with semi-structured interviews and focus groups, followed by reflexive thematic grouping and process mapping.
Findings: Eighteen parents of Aboriginal children hospitalised with ALRI and 144 Australian paediatric hospital staff participated. Barriers for parents were lack of information about their child's condition and need for medical follow-up. Facilitators for parents included doctors providing disease specific health information and follow-up instructions. Staff barriers included being unaware of the need for follow-up, skills in culturally responsive care and electronic discharge system limitations. Facilitators included training for clinicians in arranging follow-up and culturally secure engagement, with culturally responsive tools and improved discharge processes. Twelve-steps were identified to ensure medical follow-up.
Interpretation: We identified barriers and enablers for arranging effective medical follow-up for Aboriginal children hospitalised with ALRIs, summarised into four-themes, and mapped the steps required. Arranging effective follow-up is a complex process involving parents, hospital staff, hospital systems and primary healthcare services. A comprehensive knowledge translation approach may improve the follow-up process.
Details
- Title
- Respiratory follow-up to improve outcomes for Aboriginal children: twelve key steps
- Authors/Creators
- Pamela Laird - The Kids Research Institute AustraliaRoz Walker - Murdoch University, Ngangk Yira Institute for ChangeFenella J. Gill - Curtin UniversityJack Whitby - The Kids Research Institute AustraliaAnne B. Chang - Menzies School of Health ResearchAndre Schultz - The Kids Research Institute Australia
- Publication Details
- The Lancet regional health. Western Pacific, Vol.15, 100239
- Publisher
- Elsevier
- Number of pages
- 16
- Grant note
- 1170958; 1040830 / NHMRC; National Health & Medical Research Council (NHMRC) of Australia Perth Children's Hospital Foundation New Investigator Grant 1170958 / National Health and Medical Research Council of Australia; National Health & Medical Research Council (NHMRC) of Australia 50286 / Queensland Children's Hospital Foundation top-up APP1168022 / NHMRC Trip fellowship; National Health & Medical Research Council (NHMRC) of Australia 1058213 / NHMRC Practitioner Fellowship; National Health & Medical Research Council (NHMRC) of Australia
- Identifiers
- 991005687469507891
- Copyright
- © 2021 The Authors.
- Murdoch Affiliation
- Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.104 Virology - General
- 1.104.975 Respiratory Viral Infections
- Web Of Science research areas
- Health Care Sciences & Services
- Public, Environmental & Occupational Health
- ESI research areas
- Clinical Medicine