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Abstract: This paper reports on interviews with tertiary health professionals to elicit their perspectives of Indigenous cancer patients and report on factors influencing clinical decisions, particularly concerning co-morbidities, Indigeneity, and access and use of cancer services. The overarching concept of "difference" framed three main categories: "Acknowledging difference", "Not knowing how to accommodate difference" and "Not seeing difference". Findings indicate some health professionals acknowledge and aim to address needs and expectations of Indigenous cancer patients; however, challenges in identifying Indigenous status, limitations in providing relevant care within a biomedical system, and outdated assumptions and constraints of the health system limit this endeavour. Consistent and accurate recording of Indigenous status in medical records is important for health professionals to identify Indigenous status in a sensitive and timely manner. Cultural competence training should be embedded within all health training and be part of ongoing systematic organisational processes to improve the provision of culturally appropriate cancer care.

To cite this article: Meiklejohn, Judith A; Adams, Jon; Valery, Patricia C; Walpole, Euan T; Martin, Jenny H; Williams, Hayley M and Garvey, Gail. Indigenous cancer care in Queensland, Australia: Health professionals' framing of "difference" [online]. Australian Journal of Cancer Nursing, The, Vol. 16, No. 1, Jun 2015: 4-6, 8-10, 12. Availability: <http://search.informit.com.au/documentSummary;dn=303870625694457;res=IELHEA> ISSN: 1441-2551. [cited 01 Oct 16].

Personal Author: Meiklejohn, Judith A; Adams, Jon; Valery, Patricia C; Walpole, Euan T; Martin, Jenny H; Williams, Hayley M; Garvey, Gail; Source: Australian Journal of Cancer Nursing, The, Vol. 16, No. 1, Jun 2015: 4-6, 8-10, 12 Document Type: Journal Article ISSN: 1441-2551 Subject: Cancer--Patients--Care; Patient monitoring; Indigenous peoples--Ethnic identity; Aboriginal Australians--Hospital care; Cultural competence; Peer Reviewed: Yes Affiliation: (1) Research Assistant, Cancer Epidemiology, Menzies School of Health Research, Brisbane, QLD PO Box 10639, Brisbane Adelaide Street, Brisbane, Qld 4000, email: Judith.meiklejohn@menzies.edu.au, tel: (07) 3169 4223
(2) Professor of Public Health and ARC Professorial Future Fellow, Faculty of Health, University of Technology, Sydney, NSW
(3) Associate Professor, and Head, Cancer Epidemiology Group, and Menzies School of Health Research, Brisbane, QLD
(4) Medical Director, Division of Cancer Services, Princess Alexandra Hospital, and Cancer Stream Leader, Metro South Health and Hospital Service, and Associate Professor of Medicine, University of Queensland, Brisbane, QLD
(5) Chair of Clinical Pharmacology, University of Newcastle School of Medicine and Public Health, Callaghan, NSW, and Southside Clinical School, University of Queensland, Brisbane, QLD
(6) Research Assistant, Cancer Epidemiology, Menzies School of Health Research, Brisbane, QLD
(7) Division Leader of Epidemiology and Health Systems, Menzies School of Health Research, Brisbane, QLD

Database: Health Collection