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Dr della yarnold  indigenous transitions pathways director, nt medical school, flinders university
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Dr della yarnold indigenous transitions pathways director, nt medical school, flinders university

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A keynote presentation made at the Chronic Diseases Network Conference on health literacy by Dr Yella Yarnold

A keynote presentation made at the Chronic Diseases Network Conference on health literacy by Dr Yella Yarnold

Published in Health & Medicine , Education
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Transcript

  • 1. NT Medical Program Dr Della Yarnold NT Indigenous Transition Pathways Director
  • 2. This is me
  • 3. Overview • Approach to Indigenous health curriculum • Local context curriculum • Where does health literacy fit? • Integrated approaches • Benefits to patients • Indigenous Entry Stream
  • 4. The Numbers Pop. 227,025 (approx. 32.5% Indigenous) 1,349,129 square kilometres (520,902 sq mi),
  • 5. People
  • 6. The School
  • 7. Approach to Indigenous Curriculum • CDAMS Framework • Three key areas • Communication • Applied knowledge • Holistic health
  • 8. Communication • Recognition of health literacy issues • Effective listening • Language used • Concepts explained • Resources available
  • 9. The Ideal
  • 10. Confusing Messages
  • 11. Applied Knowledge • Experiential learning • Team work / Multidisciplinary approaches • Recognition of system issues • Holistic health • Epidemiological knowledge • Local context
  • 12. Living Stats
  • 13. Holistic Health • Not in name only • Practical applications (travel, medications etc...) • Family, AHW, ALO, DMO, Interpreters • Mind, body, spirit • Traditional practices
  • 14. Local Context Curriculum • Cultural Educators (Matthew, Colleen & Bilawara) • Indigenous reference group • Community placements providing experiential learning • Service providers • Interpreters, AHW & ALO
  • 15. 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
  • 16. Health Literacy Elements Onus on practitioner to ensure it happens Awareness of literacy, numeracy and the culture specific interpretation of health information An interaction which empowers an individual System and the culture in which it sits
  • 17. Health Literacy Awareness • Newest Vital Sign • Teach Back • Ask Me Three • Health Promotion • Communication skills • Holistic health plans • Awareness of a different worldview
  • 18. 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
  • 19. Integrated Approaches • Applied knowledge increases awareness • Communication facilitates assessment • Holistic health assists with addressing health literacy • Skills transferrable to all patients
  • 20. Benefits to Patients • Responsive doctors • Improved options for increasing health knowledge • Self management options increased • Appropriate management plans • Especially relevant to chronic disease
  • 21. What might stop us?
  • 22. Barriers • System • Cultural Awareness/Safety/Competency • Modelling of behaviours • Medical/Health Culture • HALT
  • 23. 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
  • 24. Questions??