期刊论文详细信息
International Journal for Equity in Health
Cross-sector collaborations in Aboriginal and Torres Strait Islander childhood disability: a systematic integrative review and theory-based synthesis
Patricia Delaney2  Joanne Delaney2  Patricia Mary Davidson1  Penelope Abbott3  Tim Luckett4  Michelle DiGiacomo4  Anna Green4 
[1] School of Nursing, Johns Hopkins University, 525 N. Wolfe Street, Baltimore 21205, MD, USA;Aboriginal Medical Service Western Sydney, Mt Druitt 2770, NSW, Australia;University of Western Sydney, Locked Bag 1797, Penrith 1797, NSW, Australia;Center for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, Broadway 2007, NSW, Australia
关键词: Intra-sector;    Inter-sector;    Collaboration;    Disability;    Childhood;    Aboriginal and Torres Strait Islander;   
Others  :  1139411
DOI  :  10.1186/s12939-014-0126-y
 received in 2014-09-22, accepted in 2014-12-09,  发布年份 2014
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【 摘 要 】

Introduction

Aboriginal and Torres Strait Islander children in Australia experience a higher prevalence of disability and socio-economic disadvantage than other Australian children. Early intervention is vital for improved health outcomes, but complex and fragmented service provision impedes access. There have been international and national policy shifts towards inter-sector collaborative responses to disability, but more needs to be known about how collaboration works in practice.

Methods

A systematic integrative literature review using a narrative synthesis of peer-reviewed and grey literature was undertaken to describe components of inter- and intra-sector collaborations among services to Aboriginal and Torres Strait Islander children with a disability and their families. The findings were synthesized using the conceptual model of the ecological framework.

Results

Thirteen articles published in a peer-reviewed journal and 18 articles from the grey literature met inclusion criteria. Important factors in inter- and intra-sector collaborations identified included: structure of government departments and agencies, and policies at the macro- (government) system level; communication, financial and human resources, and service delivery setting at the exo- (organizational) system level; and relationships and inter- and intra-professional learning at the meso- (provider) system level.

Conclusions

The policy shift towards inter-sector collaborative approaches represents an opportunity for the health, education and social service sectors and their providers to work collaboratively in innovative ways to improve service access for Aboriginal and Torres Strait Islander children with a disability and their families. The findings of this review depict a national snapshot of collaboration, but as each community is unique, further research into collaboration within local contexts is required to ensure collaborative solutions to improve service access are responsive to local needs and sustainable.

【 授权许可】

   
2014 Green et al.; licensee BioMed Central.

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