Reports and publications (published elsewhere)

An evidence-based approach to reducing discharge against medical advice amongst Aboriginal and Torres Strait Islander patients

Posted on: 11 April, 2016
Issue: Vol 16 No 2, April 2016 – June 2016
Related to Cultural ways Cardiovascular health Hospitalisation

Shaw C (2016)
An evidence-based approach to reducing discharge against medical advice amongst Aboriginal and Torres Strait Islander patients
Canberra: Deeble Institute for Health Policy Research

This paper examines the issue of discharge against medical advice (DAMA) by Aboriginal and Torres Strait Islander patients of hospital and healthcare services. It summarises published evidence about:

  • why Aboriginal and Torres Strait Islander patients DAMA
  • which strategies have proven effective in keeping Aboriginal and Torres Strait Islander patients engaged in care for the full duration of their treatment.

Effective strategies include:

  • creating culturally safe hospital environments
  • increasing the visibility and use of Aboriginal Health Workers and Aboriginal Liaison Officers
  • implementing community-based care models.

This issues brief was developed as part of a six-week scholarship program at the Deeble Institute for Health Policy Research, Australian Healthcare and Hospitals Association (AHHA), Canberra.

Australian Indigenous HealthInfoNet abstract

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