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22 Cards in this Set

  • Front
  • Back

What is the Cuban health care system like? 4

- based on universal preventative care

- recognised world wide for its efficiency and excellence

- primary health care model

5 essential parts to any strategy developed to improve Indigenous health are:

1. An integrated approach to community development(infrastructure, employment, education)

2. Indigenous control of decision making

3. Implement effective prevention and treatment health services for the major health problems

4. provide adequate resources

5. improve skill levels of indigenous workforce

What should primary health care models address in principle?

In principle, primary health services should address the main health problems in a community and provide a range of health-promoting, preventive, curative and rehabilitative services

What are the main primary health care principles? 7

1. Indigenous community involvement

2. collaborative approach with other services

3. delivery of core primary HC such as maternal health

4. evidence-based approaches adapted to local community

5. A multidisciplinary team approach employing local community members

6. Service delivery that works with aboriginal and torres culture

7. adequate and secure reasoning

What are community considerations with primary HC? 4

1. Physical env - living conditions, distance

2. Socioeconomic issues - poverty, access to HC

3. Sociocultural issues - identity issues, cultural changes

4. Political env - control, self-determination, autonomy

What are the Guiding Principles of Social and Emotional Wellbeing in health service provision? 9

1. Health as holistic

2. The right to self-determination

3. The need for cultural understanding

4. The impact of history in trauma and loss

5. Recognition of human rights

6. The impact of racism and stigma

7. Recognition of the centrality of kinship

8. Recognition of cultural diversity

9. Recognition of Aboriginal strengths

What does cultural respect mean?

Cultural respect means Aboriginal Peoples receive competent and skilled professional care from health workers who demonstrate consciousness that respect for different cultural values and meanings must be taken into consideration within their practice.

What is cultural sensitivity/what does it encourage?

encourages self reflection from participants, particularly on their personal attitudes and experiences and how this may impact on how they communicate and behave with people outside of the dominant culture.

What is cultural safety about?

Cultural Safety is practice which

– Respects

– Supports and

– Empowers

the cultural identity and wellbeing of an individual. AND empowers him/her to EXPRESS that identity AND have her/his CULTURAL NEEDS MET”

What is Cultural Competency (Capabilities)? 2

(1) the capacity of the professional to work efficiently with individuals /organizations within the cultural beliefs, practices and needs presented. (2) the capacity of the health care system to improve health and wellbeing by integrating culture into the delivery of health services.

What are the 3 Elements of Cultural Competence?




What does "knowledge" mean in cultural competence? 2

a broad understanding of

– The specific cultural and historical patterns which have structured Aboriginal & Torres Strait Islander lives past , as well as give guidance to the future.

– The implications of culture for understanding human behaviour

What does "values" mean in cultural competence? 2

– an awareness by professionals of their personal values and beliefs and being able to move away from them

– An awareness of the values, biases and beliefs being part of the practitioners’ profession.

What does "skills" mean in cultural competence?

working effectively as a professional in cross cultural contexts.

What are the goals of cultural responsiveness? 3

1. Increase the number of Aboriginal people in the mainstream health workforce

2. Increase the cultural responsiveness of mainstream health and mental health providers so that Aboriginal people receive respect and high quality care as a matter of course

3. Increase the capacity of mainstream health providers and their workforce to meet the health needs of Aboriginal people

How do you manage aboriginal illness with better services? 6

1. Improve aboriginal access to a range of health, mental health + other services

2. Reduce preventable hospitalisation rates for chronic conditions

3. Reduce hospital readmissions

4. Reduce the rates of Aboriginal patients leaving hospital againstmedical advice

5. Improve the coordination and integration of services for Aboriginal people accessing and moving between health care settings

6. Improve the identification of Aboriginal and Torres Strait Islanders accessing health services

Identify 3 ways in which the biological model is different to the social model of health.

  1. The biomedical model simplified the ailing human as a machine with "parts" that need fixing. The social model understands that there are wider influences (env, finances) that have impacted the patient to bring them to poor health.
  2. Bio: Sees the PTs illness as a result of their DNA and biology. Social: Believes that biology is only a piece in a wider puzzle.
  3. Bio: treatment is often pharmacological or surgical. Social model accepts that adjunct treatments such as relaxation etc can influence health.

What are the Marmot social determinants of health? 5

  1. General socio-economic, cultural and env conditions
  2. Living and working conditions
  3. Social and community networks
  4. Individual lifestyle factors
  5. Age, sex, hereditary factors

List 5 instances in Aboriginal health that might make it challenging, and offer a strategy for each.

  1. Potential distrust of health/government organisations (due to historical mistreatment). Establish rapport. Offer reciprocity.
  2. Appointments with outside agencies are not often met: do as many tests as can be done whilst they're there. offer transport/social help to make the visits happen or be home visits.
  3. Gap in education: avoid using medical jargon or belittling the PT. Just give the facts.
  4. Bush medicine/apprehensive about western medicine: explain the medications well, see if traditional methods are still safe to use, and encourage them.
  5. Capacity to pay for treatment: where possible, encourage bulk billing and free services.

What are the 3 types of stigma that Goffman spoke of?

  1. Physical. Outward scarring/deformity.
  2. Blemishes of character. Drug use, low education.
  3. Tribal. Race, ethnicity, religion.

What are the 4 phases of culture shock?

  1. Honeymoon
  2. Negotiation
  3. Adjustment.
  4. Mastery.

List 5 differences in public and private healthcare.

  1. Public hospitals are often teaching hospitals, whereas private hospitals take lesser number of placements overall.
  2. Public hospitals are almost entirely government or charity (or religious institution) funded. Private hospitals operate like a business are are largely funded via profit.
  3. Cost of private health insurance is greater than public.
  4. Medicare subsidies are provided to those who have private health insurance, but not those who don't.
  5. Waiting times for most services in the public system are longer than private.