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Integrated Team Care

Indigenous-led programs aim to bring a cooperative and respectful approach that encourages engagement with Indigenous people . It will allow for building and enhancing relationships that transform the changes in the indigenous community. The Integrated Team Care program is the selected program that is aiming to improve the outcomes of health for the Aboriginal and Torres Strait islanders people with chronic conditions (Commonwealth of Australia 2021). It offers coordinated care and supports self-management. The initiative is aiming for the integration of a team care program by which one-to-one support is provided to Aboriginals that helps in the management of their condition and gets healthcare according to their needs. It brings culturally appropriate healthcare services that are dealing with the complex health condition. The importance of initiative will be seen in the context of almost half of the Aboriginals having one or more chronic conditions. Heart diseases and diabetes are found to be the leading cause of death in Aboriginals (Nadin et al., 2018). The programs will help in dealing with such conditions by addressing the complex health needs of the Aboriginal community. Following are the significance of the program which is to make sure that the clients have access to the right care in the time of need and ensure allied healthcare. It makes the medical profession work for the prevention, diagnosis and treatment of chronic diseases and illnesses. Secondly, it links to healthcare across various services and ensures quick access to healthcare services. The positive influence will be seen in context of the delivery of Aboriginal care areas to be provided.

Following are the points in which the program specifically meets the needs of indigenous people. Firstly, it provides better treatment and management of chronic conditions among Aboriginals that deals with providing healthcare services to Aboriginals. Program offers the treatment that is aiming to improve the health of Aboriginal people with chronic health conditions (Murrup‐Stewart et al., 2019). It seems to be providing a positive influence that is making the change in the lifestyle and other practices. Secondly, it will be improving the accessibility of Aboriginals to people with chronic health conditions. It is reported that accessibility is found to be the major issue for the Aboriginals due to which chronic health conditions are not managed adequately. Thirdly, improving access to culturally appropriate mainstream primary healthcare services. It will lead to the primary healthcare services being incorporated into the aboriginal community. Lastly, fosters collaboration and support between the mainstream and aboriginal health sector (Sivertsen et al., 2019). It will lead to the gain of support toward the medical care and aboriginals with the sake of following practices the aboriginal need will be catered to. The primary aim of making sure that access to the services is there that meet the right care needs. It will create a link between the various healthcare services by which a set and clear pathway are made. The implication will make things possible for the implementation of evidence-based practice. Chronic health is prevented rather than providing treatment (Akter et al., 2019). The program addresses the needs of the aboriginal community and allows best-interest practices to be provided. 

Following are how the program is improving the lives and health outcomes of indigenous people. Making arrangements for the services for the client's general practitioner plans. It will allow the platform for the GP and the clients that makes them able to design the care plan (Dossetor et al., 2019). The organization of regular reviews by the primary healthcare providers that are making the patient's history get telly allows the facts to be gathered by which the right care plan is given. Providing clinical care that is missing in the Aboriginal community. It will help them to get enough sources by which health conditions like lung cancer, obesity and diabetes can be managed. The program is a supportive one in terms of speeding up access to urgent and essential services that is allowing the specialist to take part. For example, diabetes requires management by a healthcare professional but at the same time takes help from a dietitian who can provide a weight management plan that is meeting the diet and manage the glucose intake and calories (Bentley et al., 2018). It helps in the client's access to the GP-approved medical aids that is allowing the tracking of glucose levels. A glucometer can be provided that is tracking the blood sugar levels. Lastly, it will help the client to better manage and understand the condition as it is reported that Aboriginals have a lack of knowledge and awareness which can be a reason for the progression of the chronic condition (Butler et al., 2019). The program addresses the factor and creates positive outcomes for the health and lives of Aboriginals.

With the activity, the learning gained that Aboriginals do not have access to healthcare services. The selected program helped me to learn that to deal with chronic health conditions aboriginals need to be provided with access to healthcare services. It makes me able to understand that health improvement will only take place by providing culturally right practices in mainstream primary healthcare. Culturally sensitive is what Aboriginals are required to be provided that make them able to express their problem and issues (Mundy & Hewson, 2019). I also learned that I have to foster collaboration and support among the Aboriginals and the health sector. Showing respect and preferences will help in communication with the Aboriginal community that meets the needs and allows the chronic diseases to be dealt with. I learn that quicker access is a mandate that is giving the services get management of chronic diseases on time. It will lead to the timely assessment of the condition by which the management and prevention plan can be given. My overall learning with the program is that I have to ensure that Aboriginal people are getting the right amount of care considering respect and dignity. Also, I found that there is already a delay in the nursing program so a quick response is needed from the nurse. In conclusion, I have to ensure that respectful and culturally sensitive practices need to be provided.

References:

Akter, S., Davies, K., Rich, J. L., & Inder, K. J. (2019). Indigenous women’s access to maternal healthcare services in lower-and middle-income countries: a systematic integrative review. International Journal of Public Health , 64 , 343-353.https://doi.org/10.1007/s00038-018-1177-4

Bentley, M., Freeman, T., Baum, F., & Javanparast, S. (2018). Interprofessional teamwork in comprehensive primary healthcare services: Findings from a mixed methods study. Journal of Interprofessional Care , 32 (3), 274-283.https://doi.org/10.1080/13561820.2017.1401986

Butler, T. L., Anderson, K., Garvey, G., Cunningham, J., Ratcliffe, J., Tong, A., ... & Howard, K. (2019). Aboriginal and Torres Strait islander people's domains of wellbeing: a comprehensive literature review. Social science & medicine , 233 , 138-157.https://doi.org/10.1016/j.socscimed.2019.06.004

Commonwealth of Australia. (2021).Integrated Team Care program. https://www.health.gov.au/our-work/integrated-team-care-program

Dossetor, P. J., Thorburn, K., Oscar, J., Carter, M., Fitzpatrick, J., Bower, C., ... & Martiniuk, A. L. (2019). Review of Aboriginal child health services in remote Western Australia identifies challenges and informs solutions. BMC health services research , 19 (1), 1-15.https://doi.org/10.1186/s12913-019-4605-0

Mundy, L., & Hewson, K. (2019). Thinking outside the system: the integrated care experience in Queensland, Australia. Australian Journal of Primary Health , 25 (4), 303-309.https://www.publish.csiro.au/py/py18161

Murrup‐Stewart, C., Searle, A. K., Jobson, L., & Adams, K. (2019). Aboriginal perceptions of social and emotional wellbeing programs: A systematic review of literature assessing social and emotional wellbeing programs for Aboriginal and Torres Strait Islander Australians perspectives. Australian Psychologist , 54 (3), 171-186.https://doi.org/10.1111/ap.12367

Nadin, S., Crow, M., Prince, H., & Kelley, M. L. (2018). Wiisokotaatiwin: Development and evaluation of a community-based palliative care program in Naotkamegwanning First Nation. Rural and Remote Health , 18 (2), 1-18.https://search.informit.org/doi/abs/10.3316/informit.152156861920913

Sivertsen, N., Harrington, A., & Hamiduzzaman, M. (2019). Exploring Aboriginal aged care residents’ cultural and spiritual needs in South Australia. BMC Health Services Research , 19 , 1-13.https://doi.org/10.1186/s12913-019-4322-8

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