Asian migrants' lived experience and acculturation to western health care in rural Tasmania
- Terry, Daniel, Ali, Mohammed, Lê, Quynh
- Authors: Terry, Daniel , Ali, Mohammed , Lê, Quynh
- Date: 2011
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 19, no. 6 (2011), p. 318-323
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- Description: Objectives: The study was designed to explore the lived experience of Asian migrants' health care-seeking behaviour in Tasmania, to discern the acculturation process by which Asian migrants are enabled to use the health system and to identify strategies, which assist migrants to understand and use the health system better. Methods: Qualitative research was adopted. Semistructured interviews were conducted with 36 Asian migrants residing in North, South and North West Tasmania, which were recruited through purposive sampling. Results: Six main themes emerged from the interviews: the acculturation process, interactions with the health care system, access issues, culturally appropriate health care, positive health care in Tasmania and suggestions for improving health care. Conclusions: The findings indicated that Asian migrants' views affected their health care-seeking behaviours because of the lack of information, poor communication, limited access and choices in Tasmania. Interestingly, those married to local Tasmanians had the shortest trajectory to health system acculturation. The study recommended developing health and well-being for Asian migrants by increasing access to information regarding navigating the health system and improving access to and awareness of language services. In addition, ensuring adequate, appropriately written, culturally specific and congruent information should be available to assist migrants' transition into a new health care system. Lastly, greater cultural awareness within the health profession to meet the needs of culturally specific individuals and communities is required when they seek care. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.
- Authors: Terry, Daniel , Ali, Mohammed , Lê, Quynh
- Date: 2011
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 19, no. 6 (2011), p. 318-323
- Full Text:
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- Description: Objectives: The study was designed to explore the lived experience of Asian migrants' health care-seeking behaviour in Tasmania, to discern the acculturation process by which Asian migrants are enabled to use the health system and to identify strategies, which assist migrants to understand and use the health system better. Methods: Qualitative research was adopted. Semistructured interviews were conducted with 36 Asian migrants residing in North, South and North West Tasmania, which were recruited through purposive sampling. Results: Six main themes emerged from the interviews: the acculturation process, interactions with the health care system, access issues, culturally appropriate health care, positive health care in Tasmania and suggestions for improving health care. Conclusions: The findings indicated that Asian migrants' views affected their health care-seeking behaviours because of the lack of information, poor communication, limited access and choices in Tasmania. Interestingly, those married to local Tasmanians had the shortest trajectory to health system acculturation. The study recommended developing health and well-being for Asian migrants by increasing access to information regarding navigating the health system and improving access to and awareness of language services. In addition, ensuring adequate, appropriately written, culturally specific and congruent information should be available to assist migrants' transition into a new health care system. Lastly, greater cultural awareness within the health profession to meet the needs of culturally specific individuals and communities is required when they seek care. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.
Integrated and consumer-directed care : a necessary paradigm shift for rural chronic ill health
- Ranson, Nicole, Terry, Daniel, Glenister, Kristen, Adam, Bill, Wright, Julian
- Authors: Ranson, Nicole , Terry, Daniel , Glenister, Kristen , Adam, Bill , Wright, Julian
- Date: 2016
- Type: Text , Journal article , Review
- Relation: Australian Journal of Primary Health Vol. 22, no. 3 (2016), p. 176-180
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- Description: Chronic ill health has recently emerged as the most important health issue on a global scale. Rural communities are disproportionally affected by chronic ill health. Many health systems are centred on the management of acute conditions and are often poorly equipped to deal with chronic ill health. Cardiovascular disease (CVD) is one of the most prominent chronic ill health conditions and the principal cause of mortality worldwide. In this paper, CVD is used as an example to demonstrate the disparity between rural and urban experience of chronic ill health, access to medical care and clinical outcomes. Advances have been made to address chronic ill health through improving self-management strategies, health literacy and access to medical services. However, given the higher incidence of chronic health conditions and poorer clinical outcomes in rural communities, it is imperative that integrated health care emphasises greater collaboration between services. It is also vital that rural GPs are better supported to work with their patients, and that they use consumer-directed approaches to empower patients to direct and coordinate their own care. © La Trobe University 2016.
- Authors: Ranson, Nicole , Terry, Daniel , Glenister, Kristen , Adam, Bill , Wright, Julian
- Date: 2016
- Type: Text , Journal article , Review
- Relation: Australian Journal of Primary Health Vol. 22, no. 3 (2016), p. 176-180
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- Description: Chronic ill health has recently emerged as the most important health issue on a global scale. Rural communities are disproportionally affected by chronic ill health. Many health systems are centred on the management of acute conditions and are often poorly equipped to deal with chronic ill health. Cardiovascular disease (CVD) is one of the most prominent chronic ill health conditions and the principal cause of mortality worldwide. In this paper, CVD is used as an example to demonstrate the disparity between rural and urban experience of chronic ill health, access to medical care and clinical outcomes. Advances have been made to address chronic ill health through improving self-management strategies, health literacy and access to medical services. However, given the higher incidence of chronic health conditions and poorer clinical outcomes in rural communities, it is imperative that integrated health care emphasises greater collaboration between services. It is also vital that rural GPs are better supported to work with their patients, and that they use consumer-directed approaches to empower patients to direct and coordinate their own care. © La Trobe University 2016.
The quality of life and social needs of international medical graduates : emerging themes in research
- Terry, Daniel, Woodroffe, Jessica, Ogden, Kathryn
- Authors: Terry, Daniel , Woodroffe, Jessica , Ogden, Kathryn
- Date: 2011
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 1, no. 1 (2011), p. 59-67
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- Description: A literature review was conducted to identify the experiences, challenges and acculturation of International Medical Graduates (IMGs) living and working throughout rural and remote Australia. As such recently published literature highlighted key factors impacting IMGs living and working in rural and remote areas which informed the acculturation process in western society. IMGs acculturation throughout Australian rural settings occurs rapidly among these higher educated migrants. Those IMGs with Australian spouses or who have practiced in rural settings prior to migration also experience a new phase of acculturation. However, maintaining cultural and religious connectivity continues to be challenging in these settings. Community awareness and an ability to embrace IMGs and cultural differences remain crucial for identity and cultural retention. Nevertheless, few studies recognised quality of life and social needs of IMGs and their family’s impact on the rural acculturation and settlement success. Previous research has focused primarily on employment integration, satisfaction and practice support. The identified literature is in no way extensive as it focuses on IMGs in the Australian context, which may impact on transferability. A gap exists where quality of life and social needs of IMGs and their families have been overlooked. These are crucial factors impacting rural acculturation, retention and IMGs health and wellbeing. The literature highlights insights into IMGs acculturation as they migrate and reside in Tasmania, a less culturally diverse population, remains absent with very little comparable research conducted.
- Authors: Terry, Daniel , Woodroffe, Jessica , Ogden, Kathryn
- Date: 2011
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 1, no. 1 (2011), p. 59-67
- Full Text:
- Reviewed:
- Description: A literature review was conducted to identify the experiences, challenges and acculturation of International Medical Graduates (IMGs) living and working throughout rural and remote Australia. As such recently published literature highlighted key factors impacting IMGs living and working in rural and remote areas which informed the acculturation process in western society. IMGs acculturation throughout Australian rural settings occurs rapidly among these higher educated migrants. Those IMGs with Australian spouses or who have practiced in rural settings prior to migration also experience a new phase of acculturation. However, maintaining cultural and religious connectivity continues to be challenging in these settings. Community awareness and an ability to embrace IMGs and cultural differences remain crucial for identity and cultural retention. Nevertheless, few studies recognised quality of life and social needs of IMGs and their family’s impact on the rural acculturation and settlement success. Previous research has focused primarily on employment integration, satisfaction and practice support. The identified literature is in no way extensive as it focuses on IMGs in the Australian context, which may impact on transferability. A gap exists where quality of life and social needs of IMGs and their families have been overlooked. These are crucial factors impacting rural acculturation, retention and IMGs health and wellbeing. The literature highlights insights into IMGs acculturation as they migrate and reside in Tasmania, a less culturally diverse population, remains absent with very little comparable research conducted.
The baby, the bath water and the future of IMGs
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. 1 (2013), p. 51-62
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- Description: Migration has significantly accelerated over in the past few decades, with the migration of doctors and other health professionals from developed countries forming a large part of the globalisation of health care. As such, migrant labour has been observed as a means of meeting job shortages within developed countries, from low-skilled to highly-skilled professional occupations, such as International Medical Graduates (IMG). Australia, like many other developed countries, has trained insufficient doctors in the past. This has led to the immigration of IMGs to fill this gap, particularly in rural and remote areas. As countries, such as Australia has developed an ongoing need for IMGs, so too the policies and regulations have developed over the decades to meet those needs. However, as Australia now begins to train more local medical graduates, the future for IMGs remains less conceivable. The aim of this paper is to discuss the increased use of IMGs and the development of legislation and policy to regulate this cohort of migrant labour in Australia while examining what the future may be for IMGs.
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. 1 (2013), p. 51-62
- Full Text:
- Reviewed:
- Description: Migration has significantly accelerated over in the past few decades, with the migration of doctors and other health professionals from developed countries forming a large part of the globalisation of health care. As such, migrant labour has been observed as a means of meeting job shortages within developed countries, from low-skilled to highly-skilled professional occupations, such as International Medical Graduates (IMG). Australia, like many other developed countries, has trained insufficient doctors in the past. This has led to the immigration of IMGs to fill this gap, particularly in rural and remote areas. As countries, such as Australia has developed an ongoing need for IMGs, so too the policies and regulations have developed over the decades to meet those needs. However, as Australia now begins to train more local medical graduates, the future for IMGs remains less conceivable. The aim of this paper is to discuss the increased use of IMGs and the development of legislation and policy to regulate this cohort of migrant labour in Australia while examining what the future may be for IMGs.
The anglo-celtic construction of national identity in Australia and the acculturation of the ‘other’ doctors
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2015
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. (2015), p. 63 - 76
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- Description: International Medical Graduates (IMG) remain integral to the Australian health workforce, particularly in rural areas. Stakeholders who recruit, support and acts as educators assist IMGs in their transition into and through the Australian health care setting. A study was conducted to examine IMGs and their acculturation in rural Tasmania. Twenty-three IMG stakeholders were interviewed regarding the challenges facing IMGs who live and work in rural Tasmania. Critical Discourse Analysis was used to determine if social power, dominance, and inequality are enacted and reproduced through the text and talk of stakeholders. The results indicate dominant views and practices were both intentionally and unintentionally produced within the Tasmanian health care setting. These issues were reported to be contributing to the marginalisation of IMGs in Tasmania, thus impacting on their retention. However, the participants were positive and respectful in their vocalisation of IMGs and their contribution to the Tasmanian health system and community
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2015
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. (2015), p. 63 - 76
- Full Text:
- Reviewed:
- Description: International Medical Graduates (IMG) remain integral to the Australian health workforce, particularly in rural areas. Stakeholders who recruit, support and acts as educators assist IMGs in their transition into and through the Australian health care setting. A study was conducted to examine IMGs and their acculturation in rural Tasmania. Twenty-three IMG stakeholders were interviewed regarding the challenges facing IMGs who live and work in rural Tasmania. Critical Discourse Analysis was used to determine if social power, dominance, and inequality are enacted and reproduced through the text and talk of stakeholders. The results indicate dominant views and practices were both intentionally and unintentionally produced within the Tasmanian health care setting. These issues were reported to be contributing to the marginalisation of IMGs in Tasmania, thus impacting on their retention. However, the participants were positive and respectful in their vocalisation of IMGs and their contribution to the Tasmanian health system and community
Health professional students' rural placement satisfaction and rural practice intentions : a national cross-sectional survey
- Smith, Tony, Sutton, Keith, Pit, Sabrina, Muyambi, Kuda, Terry, Daniel, Farthing, Annie, Courtney, Claire, Cross, Merylin
- Authors: Smith, Tony , Sutton, Keith , Pit, Sabrina , Muyambi, Kuda , Terry, Daniel , Farthing, Annie , Courtney, Claire , Cross, Merylin
- Date: 2018
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 26, no. 1 (2018), p. 26-32
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- Description: Objective: The aim of this study was to profile students undertaking placements at University Departments of Rural Health (UDRHs) and investigate factors affecting students' satisfaction and intention to enter rural practice. Design: Cross-sectional survey comprising 21 core questions used by all UDRHs. Setting: Eleven UDRHs across Australia that support students' placements in regional, rural and remote locations. Participants: Medical, nursing and allied health students who participated in UDRH placements between July 2014 and November 2015 and completed the questionnaire. Main outcome measures: Key dependent variables were placement satisfaction and rural practice intention. Descriptive variables were age, gender, Aboriginal or Torres Strait Islander (ATSI) background, location of placement, healthcare discipline, year of study and type and length of placement. Results: A total of 3328 students responded. The sample was predominantly female (79%), the mean age was 26.0 years and 1.8% identified as ATSI. Most placements (69%) were >2 but ≤12 weeks, 80% were in Modified Monash 3, 4 or 5 geographical locations. Public hospitals and community health made up 63% of placements. Students satisfied with their placement had 2.33 higher odds of rural practice intention. Those satisfied with Indigenous cultural training, workplace supervision, access to education resources and accommodation had higher odds of overall satisfaction and post-placement rural practice intention. Conclusions: The majority of students were highly satisfied with their placement and the support provided by rural clinicians and the UDRHs. UDRHs are well placed to provide health professional students with highly satisfactory placements that foster rural practice intention. © 2017 National Rural Health Alliance Inc.
- Authors: Smith, Tony , Sutton, Keith , Pit, Sabrina , Muyambi, Kuda , Terry, Daniel , Farthing, Annie , Courtney, Claire , Cross, Merylin
- Date: 2018
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 26, no. 1 (2018), p. 26-32
- Full Text:
- Reviewed:
- Description: Objective: The aim of this study was to profile students undertaking placements at University Departments of Rural Health (UDRHs) and investigate factors affecting students' satisfaction and intention to enter rural practice. Design: Cross-sectional survey comprising 21 core questions used by all UDRHs. Setting: Eleven UDRHs across Australia that support students' placements in regional, rural and remote locations. Participants: Medical, nursing and allied health students who participated in UDRH placements between July 2014 and November 2015 and completed the questionnaire. Main outcome measures: Key dependent variables were placement satisfaction and rural practice intention. Descriptive variables were age, gender, Aboriginal or Torres Strait Islander (ATSI) background, location of placement, healthcare discipline, year of study and type and length of placement. Results: A total of 3328 students responded. The sample was predominantly female (79%), the mean age was 26.0 years and 1.8% identified as ATSI. Most placements (69%) were >2 but ≤12 weeks, 80% were in Modified Monash 3, 4 or 5 geographical locations. Public hospitals and community health made up 63% of placements. Students satisfied with their placement had 2.33 higher odds of rural practice intention. Those satisfied with Indigenous cultural training, workplace supervision, access to education resources and accommodation had higher odds of overall satisfaction and post-placement rural practice intention. Conclusions: The majority of students were highly satisfied with their placement and the support provided by rural clinicians and the UDRHs. UDRHs are well placed to provide health professional students with highly satisfactory placements that foster rural practice intention. © 2017 National Rural Health Alliance Inc.
Chronic ill health in a regional Victoria setting: A 13-year comparison
- Glenister, Kristen, Bourke, Lisa, Terry, Daniel, Simmons, David
- Authors: Glenister, Kristen , Bourke, Lisa , Terry, Daniel , Simmons, David
- Date: 2019
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 27, no. 6 (2019), p. 527-534
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- Description: Objective: High-quality data regarding the prevalence of chronic disease in rural areas are essential in understanding the challenges faced by rural populations and for informing strategies to address health care needs. This study compared the prevalence of a range of self-reported chronic conditions and utilisation of GP services and emergency department in a regional Victorian setting between two studies conducted in the same region in 2001-2003 and 2014. Design: Repeat cross-sectional studies conducted over a decade apart. Setting: The projects were conducted in the Goulburn Valley in regional Victoria. Participants: The earlier study randomly selected households from local government lists. The later study randomly selected householders from the telephone directory. Main outcome measures: Participants were asked whether they had been diagnosed with a range of chronic health conditions and how often they had visited a general practitioner or emergency department in the past 12 months. Results: The age-standardised prevalence of depression was higher in the 2014 study than the 2001-2003 study in men (increased by 8.0% (95% CI 4.5, 11.5%)) and women (increased by 13.7% (95% CI 8.4, 19.0%)). Similarly, the prevalence of age-standardised diabetes and hypertension was higher in 2014 than 2001-2003 (men increased by 3.6% (95% CI 0.7, 6.5% (diabetes)) and 13.6% (95% CI 8.6, 18.6% (hypertension)), women increased by 3.1% (95% CI 0.3, 6.5% (diabetes)) and 8.4% (95% CI 2.3, 14.5% (hypertension))). Conclusion: The results of this study indicate that the prevalence of self-reported depression, diabetes and hypertension has increased in this regional Victorian area over the past 13 years. The reasons for these observed increases and the subsequent impact on the health care needs of regional communities warrants further investigation. © 2019 National Rural Health Alliance Ltd.
- Authors: Glenister, Kristen , Bourke, Lisa , Terry, Daniel , Simmons, David
- Date: 2019
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 27, no. 6 (2019), p. 527-534
- Full Text:
- Reviewed:
- Description: Objective: High-quality data regarding the prevalence of chronic disease in rural areas are essential in understanding the challenges faced by rural populations and for informing strategies to address health care needs. This study compared the prevalence of a range of self-reported chronic conditions and utilisation of GP services and emergency department in a regional Victorian setting between two studies conducted in the same region in 2001-2003 and 2014. Design: Repeat cross-sectional studies conducted over a decade apart. Setting: The projects were conducted in the Goulburn Valley in regional Victoria. Participants: The earlier study randomly selected households from local government lists. The later study randomly selected householders from the telephone directory. Main outcome measures: Participants were asked whether they had been diagnosed with a range of chronic health conditions and how often they had visited a general practitioner or emergency department in the past 12 months. Results: The age-standardised prevalence of depression was higher in the 2014 study than the 2001-2003 study in men (increased by 8.0% (95% CI 4.5, 11.5%)) and women (increased by 13.7% (95% CI 8.4, 19.0%)). Similarly, the prevalence of age-standardised diabetes and hypertension was higher in 2014 than 2001-2003 (men increased by 3.6% (95% CI 0.7, 6.5% (diabetes)) and 13.6% (95% CI 8.6, 18.6% (hypertension)), women increased by 3.1% (95% CI 0.3, 6.5% (diabetes)) and 8.4% (95% CI 2.3, 14.5% (hypertension))). Conclusion: The results of this study indicate that the prevalence of self-reported depression, diabetes and hypertension has increased in this regional Victorian area over the past 13 years. The reasons for these observed increases and the subsequent impact on the health care needs of regional communities warrants further investigation. © 2019 National Rural Health Alliance Ltd.
Perspectives of aboriginal issues among non-aboriginal residents of rural Victorian communities
- Bourke, Lisa, Malatzky, Christina, Terry, Daniel, Nixon, Raelene, Ferguson, Karyn, Ferguson, Peter
- Authors: Bourke, Lisa , Malatzky, Christina , Terry, Daniel , Nixon, Raelene , Ferguson, Karyn , Ferguson, Peter
- Date: 2017
- Type: Text , Journal article
- Relation: Australian Journal of Social Issues Vol. 52, no. 3 (2017), p. 278-293
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- Description: Racism, in various forms, remains a dominant feature in Australian society. Aboriginal Australians are commonly targets of racial discrimination. However, understanding racism is difficult given that racial attitudes vary towards particular groups of people, across place and time and are difficult to measure. This paper presents responses of residents across four rural shires in Victoria to questions about attitudes towards Aboriginal people/issues. Responses indicated that attitudes towards Aboriginal people were diverse and that individuals varied in their attitudes on specific items. There were subtle differences between the four sites and association between demographic characteristics and some items in particular sites. This suggests that respondents are inconsistent in their attitudes relating to Aboriginal people/issues and that there are place-based influences on these attitudes. We conclude that the many varied understandings of racism and Aboriginal Australians allow the discourses of exclusion, disempowerment and othering to be maintained. © 2017 Australian Social Policy Association.
- Authors: Bourke, Lisa , Malatzky, Christina , Terry, Daniel , Nixon, Raelene , Ferguson, Karyn , Ferguson, Peter
- Date: 2017
- Type: Text , Journal article
- Relation: Australian Journal of Social Issues Vol. 52, no. 3 (2017), p. 278-293
- Full Text:
- Reviewed:
- Description: Racism, in various forms, remains a dominant feature in Australian society. Aboriginal Australians are commonly targets of racial discrimination. However, understanding racism is difficult given that racial attitudes vary towards particular groups of people, across place and time and are difficult to measure. This paper presents responses of residents across four rural shires in Victoria to questions about attitudes towards Aboriginal people/issues. Responses indicated that attitudes towards Aboriginal people were diverse and that individuals varied in their attitudes on specific items. There were subtle differences between the four sites and association between demographic characteristics and some items in particular sites. This suggests that respondents are inconsistent in their attitudes relating to Aboriginal people/issues and that there are place-based influences on these attitudes. We conclude that the many varied understandings of racism and Aboriginal Australians allow the discourses of exclusion, disempowerment and othering to be maintained. © 2017 Australian Social Policy Association.
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