Equity and Diversity

Doctors on Riccarton are committed to recognising the diversity of our patients and will strive for equity in their care. All patients should receive services in a manner that recognises their cultural, ethnic, religious, social, and individual values as well as age and gender identification.

Team members will be aware of this diversity and ensure the patient process allows for the identification and accommodation of these. At the same time, they will also recognise different people with different levels of advantage require different approaches and resources to get equitable (fair and impartial) health outcomes.

Please read our DOR Equity and Diversity Policy.

The following attachment shows the breakdown of our enrolled patient population by ethnicity: Enrolled Patient Ethnicity Count 25-10-22


Cultural Safety and Cultural Competency

From https://www.akohiringa.co.nz/

Being culturally competent is not enough

Focusing on practical cultural competencies, such as how to engage, does little to encourage practitioners to confront health inequities, and is not enough to improve health outcomes. A shift from cultural knowledge to an approach based on cultural safety will support the achievement of equitable access to healthcare and medicines for people of all cultures. Cultural safety necessitates practitioners critically question themselves and the possible impact that their own culture, history and attitudes may have on the patient.

What’s required to practice cultural safety?

Below are some points to assist in embedding cultural safety into your practice.

  1. Acknowledge your biases and understand how they impact on your interactions.
  2. Work on underlying prejudices and stereotypes (eg, do you believe your patient is not attending for their medicines because different groups are not as able or motivated to be as healthy as other groups?).
  3. Recognise the inherent power imbalance in the practitioner–patient interaction.
  4. Engage with your patient, share the decision-making – balancing the need for best clinical pathways – and form a treatment plan that fits within their cultural context.
  5. Don’t impose your own cultural beliefs, values and practices on patients, and do respect theirs.
  6. Understand that the patients’ beliefs and values will influence their perception of illness and how they manage their health (eg, your patient may have had to choose between picking up their medicines or caring for a relative).
  7. Recognise that patients’ verbal and non-verbal communication styles may not be the same as yours, and that you will need to adapt (eg, ask your patient to relay their understanding of when and how to use their medicines). Use an interpreter if necessary. Include the patient’s whānau if appropriate.
  8. Learn to recognise when your actions may not be acceptable to your patient.

Cultural competence vs safety – related, but different

A culturally competent practitioner knows about the beliefs and behaviours of patients from different cultures, and has the skill to apply this knowledge to healthcare delivery. Although important, cultural competence alone is not enough to improve equitable access to healthcare.

Practising cultural safety requires practitioners to critique tacit power structures, by exercising self-reflection and awareness, and addressing their biases, attitudes and assumptions that may affect provision of healthcare. Culturally safe practice engages patients, empowering them to be involved in decision-making and contribute to achieving positive, equitable health outcomes.

Please read our DOR Cultural Safety and Competency Policy

Bias in healthcare

Implicit bias can be seen as being some kind of distortion in perception that people have in relation to particular categories of people.

We can show bias because of someone else’s

  • ethnicity
  • gender
  • age
  • socio-economic status
  • religious beliefs
  • disability

That perception can result in behaviours which have a discriminatory impact. Implicit bias is a type of bias that people aren’t fully conscious. Our brain cells make associations between ideas and things. Societal stereotypes impact on the way that we see other people which can cause discrimination. This can have negative implications for a patient and their outcomes, because it means that they may not get the proactive care that they require.

Ways to overcome bias include:

  • see people as individuals, rather than stereotypical members of their ethnic or social group
  • expose yourself to media that breaks down prejudice and discrimination
  • provide data about different outcomes for different groups
  • have a commitment to a racism free environment

Equity and Diversity Training Record

Name Role 3.1 HEALTH EQUITY 3.2 CULTURAL COMPETENCY 3.3 BIAS Signed updated Position Description
Colin Chin Dr 23-11-22  05-11-16  23-12-22 y
Adrienne Chin Dr 07-11-22  14-01-16  02-12-22 y
Kent Johnston Dr 03-11-22  06-06-14  29-11-22 y
Bernard Teo Dr 11-11-22   24-11-17  17-12-22 y
Nigel Yeoh Dr 03-11-22  15-02-18  01-12-22 y
Su Yee Dr        
Lynne Doubleday RN 02-11-22  06-06-14  16-12-22
Vivian Huang Nurse Prescriber 03-11-22  10-06-14  23-11-22 y
Tania Grose RN 02-11-22  18-06-14  14-12-22
Carolyn Davison RN 05-12-22  06-12-17  28-11-22 y
Shelley (Fangzhi) Wang RN 05-11-22  16-12-15  26-11-22 y
Selena Busby (Maternity Leave) RN    14-11-17    
Cindy (Jiahui) Lei RN 03-11-22  13-11-17  24-11-22 y
Alex (Yuheng) Zhang RN 03-11-22  09-11-17  28-11-22 y
Zhen Pan RN 03-11-22  11-03-18  23-11-22 y
Lishan (Lisa) Yu RN 04-11-22  08-08-20  23-11-22 y
Jordan (Qiaodan) Zheng RN 08-11-22  29-07-20  22-11-22 y
Nicole Cant RN 07-11-22  07-12-22  25-11-22 y
Meiying Huang RN 07-11-22  24-11-22  23-11-22 y
Vicky (Ziqing) Zhu RN 03-11-22  27-11-22  24-11-22 y
Amira Bluett MRT 01-12-22  20-05-17 02-12-22 y
Samantha Grieve MRT 01-12-22  05-06-14 20-12-22 y
Marina Chin PM 01-10-22  29-03-19 21-11-22 y
Baoling Zhang Assist PM 07-11-22  05-06-14 22-11-22 y
Jennifer Cheng Head Recptn 07-11-22  13-06-14 01-12-22 y
KumFun Chan 07-11-22  05-06-14 10-01-23  
Alice Pai 07-11-22  14-12-14  22-11-22 y
Carol Chin 07-11-22  17-06-14  22-11-22 y
Kangsook Lee-Simpson 22-11-22  24-12-15  22-11-22 y
Anna Tonkin 10-11-22  09-11-17  28-11-22 y
Ronnie (Chui Sze) Li 08-11-22  05-12-22  28-11-22 y
Coco (Bixia) Su 08-11-22  25-07-20  22-11-22 y
Molly (Mengxin) Li 08-11-22  06-12-22  22-11-22 y
Kennedy Vallance 09-11-22  15-12-22  22-11-22 y
Skye (Yan) Peng 10-11-22  14-12-22  02-12-22 y
Reshnee Cabunilas 23-12-22   21-12-22  23-12-22 y