Ted L Chang, Hongjing Xia, Sonya Mahajan, Rohit Mahajan, Joe Maisog, Shashaank Vattikuti, Carson C Chow, Joshua C Chang
Interpretable (not just posthoc-explainable) medical claims modeling for discharge placement to reduce preventable all-cause readmissions or death
PloS one
first nations peoples colonised countries often feel culturally unsafe hospitals leading high selfdischarge rates psychological distress premature death address racism healthcare institutions promised deliver cultural safety training limited evidence teach cultural safety end created ask specialist plus training program focuses improving healthcare providers intercultural communication skills improve cultural safety aim describe training implementation evaluate training according participants inspired cultural safety critical race theory freirean pedagogy ask specialist plus piloted royal darwin hospital australias northern territory 2021 format combined listening episode podcast called ask specialist weekly onehour facetoface discussions first nations specialists outside clinical environment 7 8 weeks weekly surveys evaluated teaching domains using fivepoint likert scales via free text comments quantitative data collated excel comments collated nvivo12 results presented following kirkpatricks evaluation model fifteen sessions ask specialist plus training delivered 90 participants found training valuable attendees enjoyed unique format including use podcast catalyst discussions delivery two months allowed flexibility accommodate clinical demands shift work students senior staff learnt new skills discussed institutionally racist systems committed behaviour change considering racism commonly denied healthcare receptiveness staff discussing racism noteworthy pilot also contributed evidence cultural safety cotaught educators represent racial gender differences ask specialist plus training program provides effective model cultural safety training high potential achieve behaviour change among diverse healthcare providers training provided practical information improve communication fostered critical consciousness among healthcare providers program demonstrated training delivered weekly two months clinical departments lead positive changes cycles learning action reflection