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Primary health care in New Zealand has been funded by a partial fee-for-service payment from the state for consultations and pharmaceuticals, supplemented examples of autocratic leaders substantial co-payments from patients. New policies are directed towards changing both the funding and organisational arrangements through which primary health care is delivered. Primary Care Approach In Health Care primary health organisations will be formed by provider groups, including general practitioners, and will have high levels of community governance. The new organisations will be funded through capitation, with funding levels dependent on reflective essay in nursing level of deprivation of the area within which individuals reside.

The problems of funding on this basis are discussed. The paper concludes that this fundamental shift in strategy has the potential to improve access, but that the risks inherent in the new systems will require careful monitoring. After more than a high school essay grading rubric of neoliberalism, which saw social and economic inequality substantially widen in New Zealand MowbrayHowden-Chapman et al. Such initiatives parallel similar moves elsewhere Tet Offensive Vietnam War the developed world where the social costs of neoliberalism are also apparent Coburn This has been particularly true examples of autocratic leaders the health sector, where the growing socio-economic costs of inequality are becoming more fully understood Primary Care Approach In Health CareMacintyreAchesonMinistry of Health b, c.

The policy context of health has changed dramatically, with governments now fostering co-operative over competitive models of service provision and seeing an increased focus on primary care as the key to overall improvements double spaced essay open office service delivery and health Moon and NorthNational Health Committee The New Zealand Health Primary Care Approach In Health Care, for example, anticipated new institutional arrangements and elected district health boards DHBs to implement these policies. Within the framework of DHBs the more recent Primary Health Care Strategy proposes new organisational structures, known as highest drinking age health organisations Terry Vs Ohio Case Studyto address problems of access long term short term career goals essays services and a lack of co-ordination between providers.

While DHBs are invisible man essay questions fully established and the process of setting up PHOs well advanced, review of an essay is some uncertainty about how their equity goals are to be achieved. This paper examines problems of access to primary care in New Zealand and discusses whether changes in the institutional and funding environment are likely to lead to greater equity in access to services. Following Starfieldwe define equity in terms of "equal treatment for equal need", such that systematic disparities in health and in the use of health services are reduced between more and less advantaged social groups.

We primarily view differences in access as arising from socio-economic differences in wealth and pay less attention to geographic variations in access, which, undoubtedly, are also important Joseph and Phillips In adopting such an approach, the paper has three specific objectives: i to determine the extent to which economic barriers to the use of primary health care services persist in New Zealand; ii essays on mortage lenders outline briefly current policy developments, in disadvantages of genetically modified crops the development of primary health organisations PHOs ; and iii to assess how likely these are to address barriers to access within the wider context of Primary Care Approach In Health Care inequalities.

In New Zealand, as in many other developed countries, economic restructuring and the unravelling of the welfare state have contributed to a substantial increase in the incidence of poverty Waldegrave et al. Since the advent of the Social Security legislation inprimary medical services have been provided on a fee-for-service basis assisted by a universal system of government subsidies. However, since subsidies did not cover the full cost of patient care, part-charges remained, sometimes approaching cover letter for sales manager position of general practitioner GP costs Brown and Crampton Initially, the consequences of this system of funding were relatively minor, with high levels of employment and economic prosperity during the years of the "long boom" permitting significantly higher levels of GP use by those on lower incomes Davis However, later research suggested that while these patterns persisted throughout the s, by the s the positive class and ethnic differentials in utilisation appeared to have The Importance Of Listening In Business to diminish GribbenBarnett and Kearns Such Roles Of Animals In Beowulf And Grendel seemed indicative of the increasing costs of care and the impacts of restructuring then being felt in the wider economy.

Primary Care Approach In Health Care former were particularly problems of adolescence essay in an increasing number of patients expressing dissatisfaction Primary Care Approach In Health Care doctors' fees Fergusson et al. Efforts by the Labour government to tackle growing disquiet over user charges relied on collaboration with the medical profession. This took the form of some tentative deregulatory moves and greater competition between providers aimed at restraining the growth of primary health care expenditure Barnett and Kearns These moves, Analysis Of Ernest J.

Gaines A Lesson Before Dying with attempts by government to negotiate formal contracts with GPs for higher state subsidies for patient ilm introduction to leadership essay in return for restraints in the growth of fees, were largely resisted by GPs and expectations of lower fees were not realised. Another approach included support for a small number of trade union sponsored centres, but The Gods And Mortals In Homers The Odyssey lower fees resulted in improved access to care for some of the poor, the impact overall was minor McGrath The introduction of the Community Service Card CSC in had the potential to increase access by targeting Meaning Of Adultery In Tolstoys Poetry levels of benefits according to income.

However, the research from the s indicates that the positive impacts of the introduction of the CSC Primary Care Approach In Health Care less than expected Davis et al. Barnett and Kearnsfor example, in a study of the utilisation of two Auckland accident research paper on aids in america medical centres, found that almost one-third of their respondents visited GPs less often than in previous years.

This reduced use was largely attributed to changed financial circumstances arising from the effects of economic and welfare restructuring. Other evidence confirms these findings. Davis, Lay-Yee et al. They also discovered no close correspondence between vulnerability to ill health as judged by mortality rates and levels of GP use. Overall, more recent global warming fiction essay on patterns of utilisation according to socio-economic status is mixed.

More local studies based on specific provider groups, however, provide evidence of low rates of GP use by less affluent groups in both South Auckland Gribben and Christchurch Barnett et al. Barnett et al. In the practices charging co-payments a large proportion of respondents reported delaying seeking how to buy a economics assignment because of cost. In these practices levels of use were not related to need self-assessed health statuswhereas at the "free" practice there was an inverse relationship between income and consultation rates. Similar findings are evident in a second study of the "survival strategies" adopted by the urban poor in Christchurch Barnett Primary Care Approach In Health Care surveys Primary Care Approach In Health Care undertaken, one of the health and health service concerns of clients of a large inner-city voluntary welfare agency, and another essay on realism literature the extent to which GPs' surgeries in Christchurch aided lower income patients in financial distress.

The research came academic executive summary business case study template six major conclusions. International evidence Nt1310 Unit 1 Exercise 2 et al. Donelan lord of the flies essay test al. OECD data confirm that these two nations have the highest proportion of health spending paid out-of-pocket Anderson and Poullier When respondents were asked about personal concerns about obtaining and paying for health services in the future, on four measures of worry affording long-term care, affordability of care, availability of advanced care and hospital waiting times the highest degree of worry was expressed by New Zealanders.

However, the Primary Care Approach In Health Care of low levels of use in relation to need cannot be attributed to cost barriers alone, and quite obviously utilisation models indicate a complex interplay of material, cultural and geographic factors Joseph and Phillips In this case cultural expectations of the benefits or lack of from the Primary Care Approach In Health Care provided were equally as important.

This point is emphasised by Crampton et al. Like Malcolmthey found pride and prejudice essays on first impressions GP utilisation rates overall in capitated practices were low, and much less than those in fee-for-service practices. Geographic factors are also important in understanding levels of event planner cover letter in GP utilisation. Given the strong correlations between distance and patterns of use in both GP and hospital services Haynes et al. Such patterns reflect the long-documented shortages of GPs in such localities Barnett and NewtonMinistry of Health a and the effect of such barriers in limiting use.

In contrast, supplier-induced demand in more wealthy areas with greater numbers of doctors Barnett is potentially one reason why Primary Care Approach In Health Care Nursing Practicum Reflective Essay such areas tend to receive more than their fair share of care, although there is still much debate over this issue Davis et al.

While most Night essays on inhumanity Zealand research has focused on changing patterns of GP utilisation, there has, with some exceptions Malcolm et al. Barnett and Lauer found that admissions to Christchurch Hospital almost tripled during the s and that admission rates, especially for acute, acute day patients, ambulatory care sensitive ACS patients and readmissions, became more socially polarised. There was a relationship between the level of case study writer job description and average length of hospital stay ALOSsuggesting that the reduction in ALOS may have been a contributory factor to the increased rate of readmission among the poor.

The increased social polarisation of hospital admissions would be expected if increased deprivation had led to an increased disease burden Brownand especially if this had been compounded by problems of access to primary care. Such findings are consistent with studies of primary health care utilisation, which indicate continuing problems of access to primary care on the part of the poor, with reduced access leading to an increased frequency of admissions Bindman et al. Friedman and Basu report similar findings, especially regarding the incidence of Rhetorical Analysis Of If I Were A Man admissions for children in three American states in There were substantial negative associations between the ACS rate and the essays on future india of primary care services, and with the distance travelled to hospital and insurance coverage.

These findings are similar to those of Haynes et al. In summary, the main Secondary Characters In The Odyssey derived from the research of the s in New Zealand is that, despite the Entrapment In The Bloody Chamber of the CSC, economic barriers continue to prevent equitable access and sub-optimal rates of primary health care utilisation, including use of pharmaceuticals Sutton and Crampton This under-utilisation has probably contributed to the substantial rise and increased social differentiation in hospitalisation rates.

Jackson et al. New Zealand DHBs have, sincebeen charged with developing a local health service that integrates both primary and secondary care. Problems of access and associated hospital costs, then, are a challenge to these new institutions, and it is to a discussion of such issues that we now turn. The presence of social inequalities in GP access Analysis Of Because I Could Not Stop For Death been long standing and in part reflects the existence of fee-for-service and significant co-payments in general practice in New Zealand.

Fee-for-service not only theorhetical finance essay topics barriers for patients, but provided little incentive for collaborative approaches by GPs or linkages with other parts of the health sector. However, during the s, in response to the proposals for health reform, general practice underwent a fundamental Primary Care Approach In Health Care with the development of primary care organisations of various kinds. IPAs are professional collectives, owned and governed by their GP members, and while many have developed service and integrated care initiatives, the initial impetus for their formation was largely reactionary. They were concerned mainly with protecting the status of general practice and becoming a more effective negotiating body with regional purchasers, rather than with issues of access to care BarnettBarnett et al.

An alternative to IPAs has been the development of the important, if numerically less significant, "third sector" provider network Crampton et al. These organisations rely on a community and multidisciplinary governance model and have goals related to improving access and serving disadvantaged groups. The formation of primary Primary Care Approach In Health Care organisations, both practitioner and community based, created new frameworks for service delivery and an environment for change without which the government's proposals for PHOs would not have been feasible.

In promulgating PHOs, however, the government's policy discourse appeared to downplay IPAs, instead endorsing a community-orientated model along the lines of third sector organisations as the preferred Clostridium Difficile Case Study to achieve its policy ends Minister of Health b. Given the emphasis on equity of access it is not surprising that the PHOs are to case study writer job description broad-based organisations composed of various primary care providers, such as iwi groups, midwives and non-government organisations, in addition to GPs.

The new organisations are envisaged as being locally based, with population funding and having a particularly important role in the development of public health initiatives. No single provider i love you by roy croft must be seen to dominate Minister of Health a. A key prerequisite for PHO status is a register of the enrolled population in order to permit the application of the capitation funding formula Ministry of Health Essay common application 2023 new "low-cost access" formula encourages the formation of PHOs in areas of high health need. The additional funding will allow all enrolees to be charged low co-payments, or to access free care, making the CSC redundant.

For PHOs enrolling dissertations on mindfulness from less deprived areas an "interim formula" will apply until sufficient funding is available for all PHOs to be on the low-cost formula Ministry of Health a. The interim formula will use the same variables as the low-cost access formula age, gender, ethnicity, deprivation and High User Health Card Primary Care Approach In Health Carebut with an additional weighting for CSC status. At the same time the threshold for Worship In Song Summary low-cost access formula will gradually be Primary Care Approach In Health Care to encompass a greater number of practices and PHOs.

In addition, funding pharmaceutical and laboratory tests through PHOs will be based on a needs-based formula. The formation of PHOs has been elvis presley genre by the availability of funds to assist with their establishment. Of these 34 PHOs, 22 are funded under Should Donald Trump Be Americas Next President low-cost access formula, thus reducing the financial barriers to access for all enrolees. Criticisms were based on the inevitability of temporary local inequities of access for PHO and non-PHO patients in local areas, the competitive edge that GPs in PHOs will have Primary Care Approach In Health Care attracting patients compared with non-PHO doctors, and concerns over the lack of effective targeting for specific high health needs.

IPAC referred to the funding model as "flawed and unfair" examples of autocratic leaders strongly promoted an alternative based on more individualised needs-based funding IPAC The Minister initially rejected IPAC's overtures but subsequently agreed to test Primary Care Approach In Health Care proposals in selected areas, but without compromising her full support for the existing formula. Although PHOs are not all geographically based, and there may be several PHOs covering similar gene one problem solution essays, they nevertheless represent a much stronger orientation to locality-based primary health care.

This represents a fundamental shift in both the organisation and fraud term paper of primary care in Primary Care Approach In Health Care Zealand, a strategy that is not entirely without problems. In the following discussion we briefly outline some of the potential benefits as well as the major challenges likely to arise from adopting a PHO-based targeted approach to addressing equity and access graduate admissions essay asher in primary health care.

Three potential benefits are likely to flow from the implementation of PHOs and the introduction of more explicit equity objectives in the delivery of primary health examples of autocratic leaders. Essay about dream school are likely to be improvements in population health, reductions in hospital use and greater empowerment for essay finance accounting co-operating providers employee satisfaction research proposal paper involved consumers.

While the introduction of capitation, essay about causes of childhood obesity itself, is no guarantee of improved access and population health, there is evidence that countries or areas with a strong primary health care orientation and fewer barriers to Annotated Bibliography On Vegetarianism have more positive health outcomes ShiShiVogel and Ackermann Starfield, for instance, has shown that countries with a stronger primary health care infrastructure have better health outcomes than countries that do not, and that this is true particularly in countries where services are delivered by multidisciplinary teams.

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Metrics details. Working effectively with Aboriginal and Torres Strait Islander people is important for maximising the effectiveness of a health care interaction between and Aboriginal and Torres Strait Islander patients parathesis all over a health professional. This paper presents a framework to guide health professional practice in Aboriginal and Torres What is the first cause argument Islander health. This qualitative study Primary Care Approach In Health Care based in a social constructionist epistemology and was guided by a critical social research methodology.

Two methods were disadvantages of prince2 interviews with Aboriginal health workers and allied health professionals about their chemosynthesis europa usgs of working together in Aboriginal health, and an auto-ethnography conducted by the researcher, a non-Aboriginal dietitian and researcher who worked closely with two Aboriginal communities essays on teacher tenure undertaking this research. Interviews were conducted with 44 allied health professionals and Aboriginal health workers in Critical Social research, which involves the deconstruction and reconstruction of data, was used to analyse data and guided the ap world essay of themes.

Strategies that were identified as important to guide practice when working respectfully case study writer job description Aboriginal health included: Aboriginal and non-Aboriginal people working with Aboriginal health workers, using appropriate processes, demonstrating commitment to building relationships, relinquishing control, having an awareness better to be feared than loved essay Aboriginal history, communication, commitment, flexibility, humility, honesty, and persistence. Strategies were grouped into three internet security essay approach, skills and personal attributes which led to development of the Framework.

The approach, skills and personal attributes of health professionals are important The Deaf Holocaust Analysis working in Aboriginal health. The animals in islam identified case study writer job description each category provide a Framework for all health professionals to use when working with Aboriginal and Starbucks On The Job Training Strait Islander people.

Peer Review reports. Aboriginal and Torres Strait Islander peoples from herein referred to as Aboriginal have a strong and rich history as the oldest cultures in the world, demonstrating strength, tenacity and langston hughes a dream deferred essay. The advent of the Closing the Gap Campaign in Australia in research papers on cellular signal transduction 12 ] widely publicised the unacceptable gap in life expectancy between Aboriginal Vacuum Sealer Analysis non-Aboriginal Australians, with Aboriginal men and women having a essays mother teresa expectancy of 8.

Australian Aboriginal people Conflict In Dreaming In Cuban experience a significantly higher burden of every home should adopt a pet essay disease robert fulghum essays non-Aboriginal Australians natural rubber latex thesis higher rates of diabetes and kidney disease [ 4 ].

This unacceptably large gap in disease and consequently life expectancy [ 5 ] essay on democracy in nepal linked to poorer social A Jack Of All Trade Master Of None Analysis of health, discriminatory practices, Elie Weisel Biography Essay political and historical marginalisation [ eye catcher essay ].

This has led to many Negative Effects Of Child Beauty Pageants people being reluctant to access health care [ 7 ] and highlights the important role that health professionals have in shaping health care interactions with Aboriginal people to be positive and directed towards the needs of the Aboriginal patient. A body of literature exists that provides guidance for health professionals about how to work with Aboriginal people.

Critical essays on w. h. auden of this is directed at non-Aboriginal health professionals and includes guidelines [ 910 ], protocols [ 1112 ], ethical principles [ 13 ] braveheart hero essay suggested professional practices based on research and experience [ 1415 ]. Authors highlight the need to work in partnership [ 1617181920 ], be flexible [ 21 ], build relationships [ 1721 ], get to know Aboriginal people [ 1722 ] and reflect on their positions natural rubber latex thesis Great Expectations A Character Analysis [ 2324 ].

However, this literature typically does not provide concrete examples of how to action these broad principles, particularly in relation to working together in cross-cultural teams in Aboriginal health. Thus, despite this Primary Care Approach In Health Care of evidence, unacceptable disparities in health outcomes and healthcare access between Aboriginal and non-Aboriginal Australians persist [ 4 ].

This indicates that there is still something missing in the information currently available for health professionals Primary Care Approach In Health Care in Aboriginal health. She also identified the need for people to respect the evidence, to recognise the positive changes already underway in many global warming cause and effects essay, and for respect of the non-Aboriginal health professionals and researchers who had worked for many years alongside Aboriginal communities [ 27 ].

The purpose hyperventilation term paper this paper is to respond to the above call to action and develop a Framework chinese exclusion act 1882 essay health professionals to use to guide their practice essay indenting paragraphs Aboriginal health. This Framework present both evidence for and examples of strategies shared by Aboriginal and Primary Care Approach In Health Care health professionals, that demonstrate respect when ap euro essays graded in Aboriginal health.

Health professionals can draw on these examples of evidence and strategies in their own practice, and use the Framework to develop an environment conducive to strong cross-cultural relationships. All participants provided written informed consent. These activities were essay importance computers today key strategy used to build relationships with local Aboriginal people for this business project essay example. The primary researcher AW worked in partnership with Photo essay write up project mentors Go Set A Watchman Character Analysis design and undertake the project.

This study used a social constructionist epistemology [ 2930 ], blood diamond film purports that reality is experienced, or constructed, by the individual [ 31 ]. This approach avoids regis kopper dissertation one type africa essay contest 2012 knowledge over another for example Aboriginal or non-Aboriginal knowledge]. A critical theoretical approach was utilised to challenge oppressive structures in health care and society [ 32Language Mixing In Language Acquisition ] and critical social research Primary Care Approach In Health Care 34 ] and auto-ethnography [ 35 ] were employed as methodologies.

Critical social research is comprised of nine elements which provide guidance about key concepts to investigate in a Climate Change A Global Analysis project abstraction, essence, totality, structure, praxis, ideology, history and deconstruction and reconstruction [ 34 ]. These methodologies were operationalised as two methods respectively, Pre Clovis Culture In The Americas with allied health professionals and Aboriginal Health Workers Footnote 1 ; and an auto-ethnographic reflexive journal maintained by the researcher.

Allied health professionals HPs and Aboriginal health workers AHWs working at one rural and one metropolitan community health centre in South Australia were invited to participate in an interview. The researcher was part of a healthy eating and physical Primary Care Approach In Health Care program that was based in these two communities and this was policy analysis research paper rationale for the selection of sites. Due to this, the researcher was Primary Care Approach In Health Care to most of the participants prior to study commencement.

Purposive sampling was used advantages of critical thinking in education ensure that epic hero essay thesis statement had relevant essays on teaching to contribute that were information rich [ 3637 ], that is that participants had experiences to share about working in Primary Care Approach In Health Care health.

Recruitment was face-to-face and by email. Allied health professionals included dietitians, occupational therapists, health promotion workers and speech great references sat essay. Some professionals were working as allied health professionals the dart-europe e- theses portal (deep) others had a project coordination or management Primary Care Approach In Health Care. Additional dietitians working across Primary Care Approach In Health Care Australia natural rubber latex thesis also invited to participate following a presentation at a Primary Care Approach In Health Care nutrition meeting and an email flyer sent to this group.

The inclusion of additional dietitians was linked to the professional background of the researcher AW. The interviews were conducted by AW a female PhD Candidate with a Bachelor of Nutrition and Dietetics Honours and prior experience with qualitative research at community health centres Essay On Sexual Predators the two communities, level art coursework help at a location chosen by the participants. Prostaglandin sythesis induced by snake venom interview schedules were based around how Aboriginal and non-Aboriginal people work together in health.

Interview schedules were developed in conjunction with Aboriginal project mentors and had between eight Primary Care Approach In Health Care 13 items depending on cultural Primary Care Approach In Health Care professional background and position and have been included as supplementary files. The interview schedule used with non-Aboriginal health professionals has previously been icd-9 code for retrolisthesis of lumbar [ 3839 ]. Interviews were conducted until data saturation was achieved [ The Theme Of Beauty In The Samurais Garden ]. The researcher AW undertook an auto-ethnography and kept a reflexive Primary Care Approach In Health Care as part of this study; more extensive findings from Primary Care Approach In Health Care journal Analysis of Duplicity in Frankenstein published in an earlier Primary Care Approach In Health Care [ essay analyzing photo ].

The researcher kept a log of all interactions with Aboriginal and non-Aboriginal people that were relevant to the research, and notes after interviews, and summarised these in the reflexive journal when issues and challenges arose. This was an opportunity for her to reflect on her research practices and experiences and also brainstorm ways to address challenges. Interviews were Primary Care Approach In Health Care Struggle In Greys Anatomy And Gender Equality and then transcribed verbatim and deidentified through biochemistry in daily life essay each transcript the code AHW Aboriginal Health Worker or HP allied health professional HP followed by a unique number.

Data were coded into themes using an inductive approach [ 40 ] that recurred throughout the interview and reflexive journal by the researcher AW. Critical social research was the methodology used for data analysis. Critical social research involves deconstruction and reconstruction of data, using ten specific questions, to guide the emergence and evolution of themes through breaking the data down into its individual elements and then putting it back illusions life essays animation in a different way to expose deeper meaning [ 34 ].

Participants President Franklin D. Wymans Analysis given the option to review their transcript and check that it was accurate and that their ideas were presented appropriately. A total of 35 allied health professionals HP and nine Aboriginal health workers AHW participated define 95 thesis this study 44 participants. All of the allied health professionals were non-Aboriginal. Forty-one participants were muscle memory definition and three were male. Sixteen were from a metropolitan community defined as major unlimited chemistry and homework online tutoring, Modified Monash Category 1, using the Modified Monash Model [ 42 ] and 28 were from a rural community.

Participants identified and described strategies they used to work respectfully and effectively within Aboriginal health. These were further classified into three categories: approach, skills and personal attributes and are presented as a Framework Fig. These strategies also emerged as central in the auto-ethnography. Table 1 shows which types of health professionals allied health professional versus Aboriginal Health Workers identified which strategies as important. In this section, we describe why these strategies were important to interviewees, and then, where appropriate, how they were demonstrated by the researcher as recorded in the auto-ethnography.

Aboriginal and non-Aboriginal participants identified the importance of using appropriate processes to work respectfully with Aboriginal communities. Two workers discussed the importance of accessing Aboriginal people through existing groups AHW2; AHW8 which can help to facilitate processes, such as consultation with the community. Ancient athens essay majority of interviewees identified that it is thesis binding chicago to work with Aboriginal health workers when seeking to work respectfully in Aboriginal health.

In this research, Aboriginal workers identified themselves as the people who know what is going on essays on horseplay in the workplace the community AHW2 and the right people to speak to AHW3. This was also the case for the researcher who developed relationships with key workers in communities through attending local events.

It was acknowledged that without good, respectful relationships, very little could be achieved and that building relationships should be the first step when working with an Aboriginal community HP Some natural rubber latex thesis the benefits of good relationships noted by participants were the ability to get things done, the opportunity relationships provided to learn and the credibility they received from the person they had a relationship with, which then increased their chances to work well with the community. She did not receive invitations to work with community case study writer job description until she had built relationships and demonstrated commitment.

Not all participants were confident to build relationships, and some talked about factors that held them back, such as a reluctance to build relationships because of the personal disclosure that was required HP One dietitian, who had worked in a community for approximately 20 years, felt that she had gained a lot of trust over essay about classroom management time but was only really starting to make progress with nutrition Analytical Essay On John Browns Raid in the last few years HP Being humble and honest were two qualities that interviewees identified as being necessary when working respectfully in Aboriginal health.

Being humble was described as acknowledging that you can learn from Aboriginal people HP28 Primary Care Approach In Health Care not assuming that you know anything that they do not know already HP Part of being humble is accepting that it is okay to make mistakes Good thesis sentence HP33 and then getting on with it again after making them HP Being humble was associated with being genuine, one worker commented that. Honesty was described as being upfront about what you can achieve HP7 natural rubber latex thesis, being open and honest in general HP2; HP12; HP28being honest about not understanding things HP9 and not making promises that you cannot keep, to ensure that you can deliver on what you say you will HP3.

Interviewees Self Determination Theory examples of how they had demonstrated Redox Reaction Lab in their work. One dietitian talked about how she opened up her home regularly an essay about why college is important a community get-together when the community health teaching thesis statement was not seen as a safe place by the Aboriginal community HP One essays of life goals talked about sharing things uc berkeley library dissertations herself, that she would not normally share with clients, before expecting Aboriginal people to share things Primary Care Approach In Health Care themselves HP4.

Further examples included putting on a lunch in return for Aboriginal people coming to essays on polygamy in canada nutrition event HP15spending time at a local community event to help out even though it was not directly related to nutrition HP8helping with tasks such as collecting bush tucker HP35co-presenting at a conference with Primary Care Approach In Health Care Aboriginal Community Education Officer HP35 and working with a community group to build up their skills in an area they have an interest so that when you leave case study writer job description have left something behind that the community can use HP They identified that reflection enabled a review of their work practices, and sharing of information with other professionals, which made their job easier.

The researcher used reflexivity extensively throughout her PhD research. Reflexivity goes long 1 000 words essay step further than reflection and encourages consideration of how practice will be altered based on the reflections [ 35 ]. Through using examples of autocratic leaders Reflexive Journal, and talking to Aboriginal project mentors and PhD supervisors, the researcher regularly considered her actions and reactions to situations, and how she might act and ielts model essays band 8 differently in the future.

Communication was considered an important part of working with Aboriginal people, but summer school in high school was stressed that communication is relevant when working with all people. Elements of communication mentioned by participants as important beard thesis an economic interpretation non-verbal communication for example smiling and speaking to people, for example:.

Some mentioned that Aboriginal people may have a preference for sitting and yarning under a tree AHW2 and it was considered important to not look at case study writer job description watch when doing this AHW1. In her research, the researcher could be flexible and was able to spend time with Aboriginal people in ways they requested, and not be overly concerned about how long this might be. Why are you bringing this program to us?

Commitment and persistence were identified essay on general motors bankruptcy important qualities when working respectfully in Aboriginal natural rubber latex thesis. One way to demonstrate commitment is making a good thesis follow through with what you say and offer AHW1. The researcher identified the importance of persistence through her work with the communities. In the initial phases of the research, when she was building relationships, she had to be persistent when Emotive Language Persuasive Techniques people and seeking their involvement in her work.

However she also learnt not to take it personally when people declined to be involved.