dr della yarnold indigenous transitions pathways director, nt medical school, flinders university
DESCRIPTION
A keynote presentation made at the Chronic Diseases Network Conference on health literacy by Dr Yella YarnoldTRANSCRIPT
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NT Medical Program
Dr Della YarnoldNT Indigenous Transition Pathways Director
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This is me
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Overview
• Approach to Indigenous health curriculum• Local context curriculum• Where does health literacy fit?• Integrated approaches• Benefits to patients• Indigenous Entry Stream
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The Numbers
Pop. 227,025 (approx. 32.5% Indigenous)1,349,129 square kilometres (520,902 sq mi),
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People
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The School
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Approach to Indigenous Curriculum
• CDAMS Framework• Three key areas• Communication• Applied knowledge• Holistic health
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Communication
• Recognition of health literacy issues• Effective listening• Language used• Concepts explained• Resources available
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The Ideal
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Confusing Messages
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Applied Knowledge
• Experiential learning• Team work / Multidisciplinary approaches• Recognition of system issues• Holistic health• Epidemiological knowledge• Local context
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Living Stats
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Holistic Health
• Not in name only• Practical applications (travel, medications
etc...)• Family, AHW, ALO, DMO, Interpreters• Mind, body, spirit• Traditional practices
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Local Context Curriculum
• Cultural Educators (Matthew, Colleen & Bilawara)
• Indigenous reference group• Community placements providing
experiential learning• Service providers• Interpreters, AHW & ALO
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Health Literacy Approach
• Not just literacy• Understanding health systems in the
dominant culture• Two way communication• Not appropriate to test for literacy• Must be aware of the potential impact• Mediated by holistic health approaches
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Health Literacy Elements
Onus on practitioner to ensure it happensAwareness of literacy, numeracy and the
culture specific interpretation of health information
An interaction which empowers an individualSystem and the culture in which it sits
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Health Literacy Awareness
• Newest Vital Sign• Teach Back• Ask Me Three• Health Promotion• Communication skills• Holistic health plans• Awareness of a different worldview
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Outcomes
• Appropriate two-way communication of health information - responsive
• Understand & be able to apply the information to decisions made about health
• Options for self empowerment and self management
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Integrated Approaches
• Applied knowledge increases awareness• Communication facilitates assessment• Holistic health assists with addressing
health literacy• Skills transferrable to all patients
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Benefits to Patients
• Responsive doctors• Improved options for increasing health
knowledge• Self management options increased• Appropriate management plans• Especially relevant to chronic disease
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What might stop us?
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Barriers
• System• Cultural Awareness/Safety/Competency• Modelling of behaviours• Medical/Health Culture• HALT
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Indigenous Entry Stream
• Indigenous doctors • Combining cultural knowledge with clinical
skills• Increased recognition of health literacy
issues, incorporation of traditional healing practices, awareness of holistic health domains
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Questions??