Clinical Exploration and Experience Report on Aboriginal Health Services

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Introduction

Orange Aboriginal Medical Service (OAMS) is an incorporated aboriginal health service that is an organization that is operated, owned and controlled by the community, and has been providing primary health care and medical services successfully to the local orange community since 2005 February (OAMS, 2014). OAMS is a nonprofit organization governed by seven members of board of directors who local people are skilled and independent. Five positions in the board including four executives posts are held by aboriginal people, while the two remaining are reserved for professionals who have relevant skills. The services provided at OAMS include women’s health, antenatal care, early childhood services, post natal care, immunizations, sexual health, lactating specific consultations, well persons check, Pathology collections, preventive advices and home visiting (OAMS, 2014).

Historical development of the aboriginal health service

In 1971 at Redfern saw the first establishment of Aboriginal medical service (AMS), after high pressure and agitation from the local service (Andrews et al, 2002). This was a part of self deterioration and aspirations of the aboriginal people in the melting-pot and intense environment of the intellectual life of Redfern. Moreover, this was a also a response to the urgent need of provision of accessible and decent health care services to the largely and swelling medically uninsured Redfern aboriginal populations.

The aboriginal medical services are separate from the state government controlled services, and are controlled by the aboriginal communities through their elected board of directors (Blais & Hayes, 2011). Rigby et al (2011) pointed out that the approach of primary health care that Redfern adopted as well as the early ACCHS’s mirrored international aspirations and was innovative for appropriate, effective, accessible need-based health care with social justice and prevention focus

The National Aboriginal and Islander Health Organization (NAIHO), a national umbrella organization was foreshadowed in 1974 in Albury during a national meeting on health of the aboriginal people, and in 1976 was established to promote the aboriginal community control principle in the health of the aboriginal people, to lobby for new service establishment and for holistic approach (Australia, 2009).

From 1970 to 1978 saw new establishment of ACCH in various parts of Australia to 12.however, this was halted for the next 15 years due to the minimal government financial support (Atwal & Jones, 2009). In 1992, NAIHO was replaced by the new national umbrella organization, national aboriginal community controlled health organization (NACCHO). The name change showed that the Torres Strait Islanders decided to campaign for themselves to establish their own organization (Australia, 1999).

There were 140 aboriginal health services funded by Australian government by 2003/2004 of which 127 ACCH were operating in remote, rural and urban areas (Blais & Hayes, 2011).

OAMS is a controlled health service by the aboriginal community providing primary and medical healthcare to the community. OAMS was established on 18th February 2005 and operates under one roof. In 2012, OAMS expanded its services to include outreach dental services to Cowra, Bathurst and Parkes aboriginal communities, and in 2013 to outreach to Forbes (OAMS, 2014).

Inter professional practice

The staff involved in OAMS center include general practitioners, midwifes, family and child health nurses, health workers, dentists and doctors. Inter-professional practice according to (Harding, B., & VEA, 2003) is when more professionals learn from, about and with each other to improve quality and collaboration in care. It is about creation of environments where health professionals can learn about and from each other, and the focus should be on the patient not the health professionals.

The inter-professional practice to indigenous health is very important because it is about preparing and modernizing the aboriginal health workforce in Australia for the challenges they will face in this 21st century. These include ageing population, chronic diseases and workforce trained on the acute care. Another importance to the inter-professional practice to the indigenous health is because it will keep the workforce be updated with changes in technology that they currently experience. This is all about the  organizational change of the entire aboriginal health systems, as well as the way the health professional think, manage, see and do (Andrews et al, 2002).

Cultural competent nursing care includes skills, attitudes and knowledge that support caring of people from different cultures and languages (Blais & Hayes, 2011). Culture influences the health practices and also how the patient and the heal.............


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