Genetic Counseling for Indigenous Australians: an Exploratory Study from the Perspective of Genetic Health Professionals

Verfasser / Beitragende:
[Emma Kowal, Lyndon Gallacher, Ivan Macciocca, Margaret Sahhar]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Genetic Counseling, 24/4(2015-08-01), 597-607
Format:
Artikel (online)
ID: 605544700
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245 0 0 |a Genetic Counseling for Indigenous Australians: an Exploratory Study from the Perspective of Genetic Health Professionals  |h [Elektronische Daten]  |c [Emma Kowal, Lyndon Gallacher, Ivan Macciocca, Margaret Sahhar] 
520 3 |a Indigenous populations are thought to have particularly low levels of access to genetic health services, and cultural issues may be a contributing factor. This article presents the findings of the first study of genetic health service provision to Indigenous Australians. This qualitative study aimed to identify elements of culturally-competent genetic health service provision in Indigenous Australian contexts. Twelve semi-structured interviews were conducted with genetic counselors and clinical geneticists from around Australia who had delivered services to Indigenous Australians. Participants were asked to describe their experiences and identify any collective cultural needs of Indigenous clients, as well as comment on specific training and resources they had received or used. Interviews were audio-recorded and transcribed with thematic analysis conducted on the data. The findings show that participants were reluctant to generalize the needs of Indigenous peoples. Some participants asserted that Indigenous peoples have needs that differ from the general population, while others felt that there were no collective cultural needs, instead advocating an individualized approach. Being flexible and practical, taking time to build rapport, recognizing different family structures and decision-making processes, as well as socio-economic disadvantage were all identified as important factors in participants' interactions with Indigenous clients. Indigenous support workers and hospital liaison officers were seen as valuable resources for effective service provision. The implications of this study for training and practice are discussed. 
540 |a National Society of Genetic Counselors, Inc., 2014 
690 7 |a Genetic counseling  |2 nationallicence 
690 7 |a Indigenous Australians  |2 nationallicence 
690 7 |a Aboriginal and Torres Strait Islanders  |2 nationallicence 
690 7 |a Culture  |2 nationallicence 
690 7 |a Genetic health services  |2 nationallicence 
690 7 |a Access  |2 nationallicence 
690 7 |a Cultural competence  |2 nationallicence 
700 1 |a Kowal  |D Emma  |u Centre for Citizenship and Globalisation, Deakin University, 3125, Burwood, Victoria, Australia  |4 aut 
700 1 |a Gallacher  |D Lyndon  |u Department of Paediatrics, The University of Melbourne, Royal Children's Hospital, 3052, Parkville, Victoria, Australia  |4 aut 
700 1 |a Macciocca  |D Ivan  |u Victorian Clinical Genetics Services, Murdoch Childrens Research Institute, Royal Children's Hospital, 3052, Parkville, Victoria, Australia  |4 aut 
700 1 |a Sahhar  |D Margaret  |u Department of Paediatrics, The University of Melbourne, Royal Children's Hospital, 3052, Parkville, Victoria, Australia  |4 aut 
773 0 |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/4(2015-08-01), 597-607  |x 1059-7700  |q 24:4<597  |1 2015  |2 24  |o 10897 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kowal  |D Emma  |u Centre for Citizenship and Globalisation, Deakin University, 3125, Burwood, Victoria, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gallacher  |D Lyndon  |u Department of Paediatrics, The University of Melbourne, Royal Children's Hospital, 3052, Parkville, Victoria, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Macciocca  |D Ivan  |u Victorian Clinical Genetics Services, Murdoch Childrens Research Institute, Royal Children's Hospital, 3052, Parkville, Victoria, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sahhar  |D Margaret  |u Department of Paediatrics, The University of Melbourne, Royal Children's Hospital, 3052, Parkville, Victoria, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/4(2015-08-01), 597-607  |x 1059-7700  |q 24:4<597  |1 2015  |2 24  |o 10897