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Table 4 DAHAG and ASSU perspectives of the community engagement process

From: Improving healthcare for Aboriginal Australians through effective engagement between community and health services

Was the engagement process sufficiently broad and participative to capture a range of community views?

Mixed evidence

Strong evidence

Very strong evidence

 Community engagement process was effective

  

X

 DAHAGs as effective strategy to recruit broad representation of community members

 

X

 

 Wide community representation

X

  

Did the engagement process meet Aboriginal participants’ expectations?

   

 Aboriginal ownership and decision making, raising issues, advocating for change, supporting one another

  

X

 Initial scepticism, apprehension about the initiative

  

X

 Surprise that things were actually happening and that outcomes were emerging from the engagement process

  

X

 Not tokenistic

  

X

 Opportunity to break cycles and make change

  

X

 Opportunity to meet with service providers and raise issues

  

X

 Consultation has led to action, change and outcomes

  

X

Were those views effectively translated into actions by health services?

   

 Direct interaction with service providers

  

X

 Service providers engaging with and listening to Aboriginal people

  

X

 Accountability, commitment to improvement

  

X

 Service providers reporting back and making changes to practice

  

X

 Overall changes seen in health services in the region

  

X

 Increased sensitivity of service providers to Aboriginal culture

 

X

 

 Increased flexibility in service delivery

 

X

 

 Community views are fed back with commitment to change at higher levels in health services

X

  

 Improved continuity of care, follow-up and referral of Aboriginal patients (Linkages created)

 

X

 

 Flexibility and availability of service provider

 

X

 

 Valuing and translating community input into services

  

X

 Networking by service providers to raise awareness and build relationships to facilitate effective services

 

X

 

What changes (if any) in trust/confidence in health services have been experienced at a personal, family or community level?

   

 Two-way capacity building (Aboriginal community and service providers)

 

X

 

 Consultation has led to action

  

X

 Providing a service that is welcoming and respectful

 

X

 

 The community engagement process allayed concerns and built trust

  

X

 Increase in health service use by Aboriginal people

 

X

 

 More health services are available for Aboriginal people

  

X

 Aboriginal people having a voice in their health care

  

X

 Aboriginal specific services

  

X

 Relationship building between Aboriginal people and service providers

  

X

 Culturally appropriate services

  

X

 Relaxed, safe and welcoming atmosphere

  

X

 Continuity of care

 

X