Original Article
Health professional partnerships and their impact on
Aboriginal health: An occupational therapist’s and
Aboriginal health worker’s perspective
Kerry Hooper,
1
Yvonne Thomas
2
and Michelle Clarke
3
1
Occupational Therapy Department, Shoalhaven District Memorial Hospital, Nowra, New South
Wales,
2
Occupational Therapy, and
3
Rehabilitation Sciences, School of Public Health, Tropical Medicine
and Rehabilitation Sciences, Townsville, Queensland, Australia
Abstract
Objective: To describe the extent and nature of demon-
strated professional partnerships between occupational
therapists and Aboriginal health workers in rural and
remote communities of North Queensland. The study
identifies ways in which professional partnerships
improve client services and enhance occupational
therapy outcomes through exploring the aspects of
communication, collaboration and bridging cultural
boundaries.
Design: Data collected via in-depth, semistructured
telephone interviews.
Setting: Aboriginal and mainstream health and human
service organisations in rural and remote North Queen-
sland. Rural and remote areas were identified using the
Accessibility and Remoteness Index of Australia codes.
Participants: Seven participants working in rural and
remote areas of North Queensland, comprising four
occupational therapists and three Aboriginal health
workers. All participants were female.
Results: Participants identified five core themes when
describing the extent and nature of professional part-
nerships between occupational therapists and Aborigi-
nal health workers. Themes include: professional
interaction; perception of professional roles; benefits to
the client; professional interdependence; and signifi-
cance of Aboriginal culture. According to participants,
when partnerships between occupational therapists and
Aboriginal health workers were formed, clients received
a more culturally appropriate service, were more com-
fortable in the presence of the occupational therapist,
obtained a greater understanding of occupational
therapy assessment and intervention, and felt valued in
the health care process.
Conclusions: This study substantiates the necessity for
the formation of professional partnerships between
occupational therapists and Aboriginal health workers.
The findings suggest that participation in professional
partnerships has positive implications for occupational
therapists working with Aboriginal clients and Aborigi-
nal health workers in rural and remote regions of North
Queensland.
KEY WORDS: Aboriginal health worker, occupational
therapy, partnership, rural and remote practice.
Introduction
The health and well-being of Indigenous Australians has
been shown to be among the poorest in the world.
1–3
Overall, Indigenous Australians experience lower levels
of access to health services than the general population,
are more likely than non-Indigenous people to be hos-
pitalised for diseases and conditions, and are more likely
to experience disability and reduced quality of life
owing to ill health.
1,2
Delivery of health care services to
Australia’s Aboriginal people presents major challenges,
particularly in rural and remote areas.
4
While rural and
remote communities are often serviced by onsite nurses
and Aboriginal health workers, very few residents have
access to doctors and no direct access to the allied health
professions.
5,6
Research suggests that the lack of access
to allied health services in rural and remote communities
inhibits the development of a multidisciplinary
approach to health care, which can contribute to a
decrease in sustainability of health.
7
Recently, a model
of allied health service provision has been developed to
service rural and remote communities in Queensland.
The model uses principles of primary health care to meet
the needs of 11 culturally diverse remote communities.
5
Correspondence: Ms Kerry Hooper, Occupational Therapy
Department, Shoalhaven District Memorial Hospital, Nowra,
New South Wales 2541, Australia. Email:
kerry.Hooper@sesiahs.health.nsw.gov.au
Accepted for publication 14 November 2006.
Aust. J. Rural Health (2007) 15, 46–51
© 2007 The Authors
Journal Compilation © 2007 National Rural Health Alliance Inc. doi: 10.1111/j.1440-1584.2007.00849.x