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One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people

dc.contributor.author Newman, Christy en_US
dc.contributor.author Gray, Rebecca en_US
dc.contributor.author Brener, Loren en_US
dc.contributor.author Jackson, L. Clair en_US
dc.contributor.author Johnson, Priscilla en_US
dc.contributor.author Saunders, Veronica en_US
dc.contributor.author Harris, Magdalena en_US
dc.contributor.author Butow, Phyllis en_US
dc.contributor.author Treloar, Carla en_US
dc.date.accessioned 2021-11-25T12:27:57Z
dc.date.available 2021-11-25T12:27:57Z
dc.date.issued 2013 en_US
dc.description.abstract Objectives: Cancer is the second biggest killer of Aboriginal Australians. For some cancers, the mortality rate is more than three times higher in Aboriginal people than for non-Aboriginal people. The Aboriginal Patterns of Cancer Care Study explored barriers to and facilitators of cancer diagnosis and treatment among Aboriginal and Torres Strait Islander people in New South Wales. Design: Our team – which includes both Aboriginal and non-Aboriginal researchers – conducted in-depth interviews between 2009 and 2010 with Aboriginal people with cancer, their carers and health professionals who care for them. In this paper we identify recurrent patterns of ‘discursive framing’ in the 16 interviews with health care professionals. We are particularly interested in how these frames assisted participants in constructing a professional position on what ‘cultural difference’ means for the design and delivery of cancer care services to Aboriginal people. Results: Despite geographical, organizational, disciplinary and cultural diversity, these interview participants consistently drew upon six discursive frames, which we have interpreted as either eliding a discussion of difference (‘everyone is the same’ and ‘everyone is different’) or facilitating that discussion (‘different priorities’, ‘different practices’, and ‘making difference safe’). An additional strategy appeared to actively resist either of these positions but then tended to ultimately prioritise the eliding frames. Conclusions: While none of our participants were dismissive of the idea that cultural identity might matter to Aboriginal people, their reliance upon familiar narratives about what that means for cancer care services has the potential to both symbolically and practically exclude the voices of a group of people who may already feel disenfranchised from the mainstream health care system. Critically unpacking the ‘taken for granted’ assumptions behind how health care professionals make sense of cultural difference can enrich our understanding of and response to the care needs of indigenous people affected by cancer. en_US
dc.identifier.issn 1355-7858 en_US
dc.identifier.uri http://hdl.handle.net/1959.4/53200
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.source Legacy MARC en_US
dc.subject.other cancer care en_US
dc.subject.other Australia en_US
dc.subject.other indigenous en_US
dc.subject.other cultural difference en_US
dc.subject.other discursive framing en_US
dc.subject.other delivery of health services en_US
dc.title One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.accessRights.uri http://purl.org/coar/access_right/c_14cb
unsw.description.notePublic http://dx.doi.org/10.1080/13557858.2012.754408 en_US
unsw.identifier.doiPublisher http://dx.doi.org/10.1080/13557858.2012.754408 en_US
unsw.relation.FunderRefNo 440202 en_US
unsw.relation.FunderRefNoURL http://purl.org/au-research/grants/nhmrc/44020 en_US
unsw.relation.faculty Arts Design & Architecture
unsw.relation.fundingScheme NHMRC Project en_US
unsw.relation.ispartofissue 4 en_US
unsw.relation.ispartofjournal Ethnicity and Health en_US
unsw.relation.ispartofpagefrompageto 433-447 en_US
unsw.relation.ispartofvolume 18 en_US
unsw.relation.originalPublicationAffiliation Newman, Christy, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Gray, Rebecca, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Brener, Loren, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Jackson, L. Clair, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Johnson, Priscilla, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Saunders, Veronica, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Harris, Magdalena, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.originalPublicationAffiliation Butow, Phyllis en_US
unsw.relation.originalPublicationAffiliation Treloar, Carla, Centre for Social Research in Health, Faculty of Arts & Social Sciences, UNSW en_US
unsw.relation.school Centre for Social Research in Health *
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