How telehealth facilitates the provision of culturally appropriate healthcare for Indigenous Australians

Caffery, Liam J; Bradford, Natalie K; Smith, Anthony C; Langbecker, Danette

doi:10.1177/1357633x18795764

Cited by 67Telemedicine and Telehealth ImplementationIndigenous Health, Education, and RightsCultural Competency in Health Care

How telehealth facilitates the provision of culturally appropriate healthcare for Indigenous Australians

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Caffery, Liam J, Bradford, Natalie K, Smith, Anthony C, Langbecker, Danette·2018·Journal of Telemedicine and Telecare

DOI 10.1177/1357633x18795764

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Abstract

Introduction: The aim of this study was to explore how telehealth facilitates or impedes the provision of culturally appropriate healthcare to Indigenous Australians from the perspective of staff at an Aboriginal Community Controlled Health Service (ACCHS). Methods: An exploratory qualitative study was performed. Semi-structured interviews were conducted with nine ACCHS staff. Interview transcripts were analysed using thematic analysis. Results: One central theme and three sub-themes were identified. The central theme of Care provided in a supportive environment describes how telehealth enabled specialist consultations to be conducted in the safe environment of an ACCHS instead of a mainstream health service. The first sub-theme described how telehealth improved affordability and convenience and brought a reduction in the stress of healthcare. The second sub-theme explained the importance of the presence of an Indigenous health worker to facilitate culturally appropriate healthcare. The third sub-theme described how telehealth supported a holistic view of health. Discussion: Our findings show culturally appropriate healthcare may be enhanced by the use of telehealth because it allows care to be provided in the supportive environment of an ACCHS. It allows the community member to have the advocacy and assistance of an Indigenous health worker and reduces the burden of travel and dislocation from community and family.

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Telemedicine has already been used to manage disruptions in medical services caused by disasters such as the wildfires in Australia and Hurricane Harvey.
“It has already been used to manage disruptions in medical services caused by disasters such as the wildfires in Australia and Hurricane Harvey [109,110].”
From Clinical Improvements From Telemedicine Interventions for Managing Type 2 Diabetes Compared With Usual Care: Systematic Review, Meta-Analysis, and Meta-Regression (2026) · cites this paper as [110]
The Introduction (p. 4) describes telehealth expanding access to specialist care for Indigenous Australians, and the Discussion (p. 10) addresses barriers to care. Neither passage addresses telehealth use during disasters or disruptions caused by Australian wildfires or Hurricane Harvey; searches for those events and disaster-related service continuity found no supporting passage. (LLM, conf=0.76)
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Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.
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Authors: Caffery, L. J., Bradford, N. K., Smith, A. C., & Langbecker, D.
Affiliations: The University of Queensland (AU)
Queensland University of Technology (AU)
Corresponding author: Caffery, Liam J
ORCID: Caffery, Liam J
Bradford, Natalie K
Smith, Anthony C
Langbecker, Danette
Venue: Journal of Telemedicine and Telecare
Publisher: SAGE Publications
Published: 2018-10-22
Volume: 24
Issue: 10
Pages: 676-682
ISSN: 1357-633X (ISSN-L)
1758-1109
DOI: 10.1177/1357633x18795764
OpenAlex: W2897758434
Semantic Scholar: 5e40b0568ee11cb6e4b19b757833fb702e48c4aa
Cited by: 67
References: 17
Citations by year: 2026: 5 · 2025: 7 · 2024: 14 · 2023: 14 · 2022: 8 · 2021: 10 · 2020: 7 · 2019: 2
FWCI: 4.55
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Telemedicine and Telecare (publishedVersion)
PubMed (publishedVersion)
QUT ePrints (Queensland University of Technology) (submittedVersion)
Funders: National Health and Medical Research Council
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Social Sciences › Health › Indigenous Health, Education, and Rights
Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords: telemedicine, Indigenous Australians, Aboriginal Community Controlled Health Services, Indigenous health workers, expert consultation, health care access, holistic health, staff perspectives, travel burden
MeSH terms: Attitude of Health Personnel, Australia, Community Health Services, Delivery of Health Care, Health Services, Indigenous, Humans, Telemedicine, Native Hawaiian or Other Pacific Islander, Culturally Competent Care

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How telehealth facilitates the provision of culturally appropriate healthcare for Indigenous Australians

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