Yarning about health checks: barriers and enablers in an urban Aboriginal medical service

Jennings, Warren, Spurling, Geoffrey K. and Askew, Deborah A. (2013) Yarning about health checks: barriers and enablers in an urban Aboriginal medical service. Australian Journal of Primary Health, 20 2: 151-157. doi:10.1071/PY12138

Author Jennings, Warren
Spurling, Geoffrey K.
Askew, Deborah A.
Title Yarning about health checks: barriers and enablers in an urban Aboriginal medical service
Journal name Australian Journal of Primary Health   Check publisher's open access policy
ISSN 1448-7527
Publication date 2013-04-04
Year available 2013
Sub-type Article (original research)
DOI 10.1071/PY12138
Volume 20
Issue 2
Start page 151
End page 157
Total pages 7
Place of publication Collingwood, Vic., Australia
Publisher CSIRO Publishing
Collection year 2014
Language eng
Abstract The annual health check for Aboriginal and Torres Strait Islander People has been welcomed as a means of conducting a comprehensive assessment to address preventive health care delivery, identify new diagnoses and initiate new treatments. Rates of health check uptake across Australia have been poor with less than 12% of the eligible population receiving one during 2009/10. This qualitative study sought to identify barriers and enablers to undertaking health checks in an urban Aboriginal Medical Service through semistructured interviews with 25 clinical staff (doctors, nurses and Aboriginal and Torres Strait Islander health workers). Clinical systems for conducting health checks were unclear to staff, with barriers relating to time pressures for both patients and clinic staff, and lack of clarity about staff responsibilities for initiating and conducting the health check. Additionally some staff perceived some content as sensitive, invasive, culturally inappropriate and of questionable value. Other barriers included concerns about community health literacy, disengagement with preventative health care, and suspicion about confidentiality and privacy. The development of clear service-wide systems that support the conduct of health checks are required to increase uptake, combined with supportive local clinical leadership and audit and feedback systems. Staff training, consideration of culture and roles, and critical review of health check content may improve staff confidence and community acceptance. Community-based health education and promotion is strongly supported by staff to increase client engagement, knowledge and acceptance of the health check.
Keyword Assessment
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 4 April 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2014 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 4 times in Scopus Article | Citations
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Created: Wed, 10 Apr 2013, 10:09:04 EST by Shani Lamb on behalf of Discipline of General Practice