7. Complex health needs for Aboriginal and Torres Strait Islander people Authors Form (text type) of Structure (ordering of Summary of the evidence Findings Quality (year), documentation information) of for content of information Appraisal* country documentation Bolch et al. Discharge plan for Process of communication Screening process for Proportion of patients being ** 200522 rural health between hospital staff and patients with complex needs risk-screened within one Australia community health service day of admission: 15% at Patients and carer providers. For Aboriginal baseline, 78% following involvement people in rural healthcare intervention Medications settings Community providers Lifestyle notified > 1 day prior to Diet for patient discharge: 0% at baseline, 78% following intervention Symptoms experienced Discharge plan commenced Multidisciplinary teamwork within 48 hours of involvement in hospital and admission: 42% at baseline, the community 90% following intervention Wand et al. Whole pathway Communication with Recommendations based on Patient’s Aboriginal ethnicity **** 200923 health professionals of findings: was mentioned in 52.5% of Australia Aboriginal and Torres consultation liaison Assessment for drug and Strait Islander peoples assessments alcohol disorders referred to a hospital Aboriginal health worker Assessment for depression psychiatry service was consulted in 48.1% of Consultation with Aboriginal cases health worker and general Most common management practitioners approach involved pharmacotherapy
7. Complex health needs for Aboriginal and Torres Strait Islander people Authors (year), country Form (text type) of documentation Structure (ordering of information) of documentation Summary of the evidence for content of information Findings Quality Appraisal* Bolch et al. 200522 Australia Discharge plan for rural health Process of communication between hospital staff and community health service providers. For Aboriginal people in rural healthcare settings Screening process for patients with complex needs Patients and carer involvement Medications Lifestyle Diet for patient Symptoms experienced Multidisciplinary teamwork involvement in hospital and the community Proportion of patients being risk-screened within one day of admission: 15% at baseline, 78% following intervention Community providers notified > 1 day prior to discharge: 0% at baseline, 78% following intervention Discharge plan commenced within 48 hours of admission: 42% at baseline, 90% following intervention ** Wand et al. 200923 Australia Whole pathway Communication with health professionals of Aboriginal and Torres Strait Islander peoples referred to a hospital psychiatry service Recommendations based on findings: Assessment for drug and alcohol disorders Assessment for depression Consultation with Aboriginal health worker and general practitioners Patient’s Aboriginal ethnicity was mentioned in 52.5% of consultation liaison assessments Aboriginal health worker was consulted in 48.1% of cases Most common management approach involved pharmacotherapy ****