Improving Indigenous patients' access to mainstream health services: the Inala experience
Improving Indigenous patients' access to mainstream health services: the Inala experience
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DOI：
10.5694/j.1326-5377.2009.tb02581.x
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发表时间：
2009-05-18
影响因子：
11.4
通讯作者：
Spurling, Geoffrey K.
中科院分区：
文献类型：
--
作者：
Hayman, Noel E.;White, Nola E.;Spurling, Geoffrey K.
1994年，在昆士兰州西南部布里斯班的Inala，只有12名土著人参加了主流全科医疗。（例如，艺术品），土著人民可以认同;缺乏土著工作人员;工作人员被认为是不友好的;关于时间的不确定性;在这些问题得到解决后，土著人民获得Inala土著保健服务的机会有所改善，从1995年到2008年，每年都有显著增长。土著初级保健卓越中心被设想为下一个创新，以改善服务的获得和质量，缩小土著和非土著健康成果之间的差距。MJA 2009; 190：604-606
In 1994, only 12 Indigenous people attended the mainstream general practice in Inala, south-western Brisbane, Queensland.An Indigenous community focus group and telephone interviews revealed deficits such as: few items (eg, artwork) that Indigenous people could identify with; lack of Indigenous staff; staff perceived as unfriendly; inflexibility regarding time; and intolerance of Indigenous children's behaviour.Access to the Inala Indigenous Health Service by Indigenous people improved when these issues were addressed, and has grown significantly every year from 1995 to 2008.Other important factors in improving access include: energetic Indigenous leadership; enabling bulk billing to increase funding; moving to a stand-alone clinic; and engaging with teaching, research and community programs.A Centre of Excellence in Indigenous Primary Health Care is envisaged as the next innovation required to improve access and quality of service, and to close the gap between Indigenous and non-Indigenous health outcomes. MJA 2009; 190: 604-606