Enablers and Barriers to Accessing Healthcare Services for Aboriginal People in New South Wales, Australia.

Australia Health Services Health Services Accessibility Health Services, Indigenous Humans Native Hawaiian or Other Pacific Islander New South Wales
communication first nations health policy health services accessibility health services administration indigenous primary health care trust

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
15 03 2021
Historique:
received: 21 01 2021
revised: 05 03 2021
accepted: 09 03 2021
entrez: 3 4 2021
pubmed: 4 4 2021
medline: 27 4 2021
Statut: epublish

Résumé

Australia's healthcare system is complex and fragmented which can create challenges in healthcare, particularly in rural and remote areas. Aboriginal people experience inequalities in healthcare treatment and outcomes. This study aimed to investigate barriers and enablers to accessing healthcare services for Aboriginal people living in regional and remote Australia. Semi-structured interviews were conducted with healthcare delivery staff and stakeholders recruited through snowball sampling. Three communities were selected for their high proportion of Aboriginal people and diverse regional and remote locations. Thematic analysis identified barriers and enablers. Thirty-one interviews were conducted in the three communities ( This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.

Sections du résumé

BACKGROUND
Australia's healthcare system is complex and fragmented which can create challenges in healthcare, particularly in rural and remote areas. Aboriginal people experience inequalities in healthcare treatment and outcomes. This study aimed to investigate barriers and enablers to accessing healthcare services for Aboriginal people living in regional and remote Australia.
METHODS
Semi-structured interviews were conducted with healthcare delivery staff and stakeholders recruited through snowball sampling. Three communities were selected for their high proportion of Aboriginal people and diverse regional and remote locations. Thematic analysis identified barriers and enablers.
RESULTS
Thirty-one interviews were conducted in the three communities (
CONCLUSIONS
This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.

Identifiants

DOI: 10.3390/ijerph18063014 PMID: 33804104 PMC: PMC7999419
pubmed: 33804104
pii: ijerph18063014
doi: 10.3390/ijerph18063014
pmc: PMC7999419
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Références

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Auteurs

Davida Nolan-Isles (D)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.

Rona Macniven (R)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.
School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2052, Australia.
Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia.
ORCID: 0000-0002-2967-7977

Kate Hunter (K)

Faculty of Medicine and Health, The George Institute for Global Health, University of New South Wales, Newtown, NSW 2042, Australia.

Josephine Gwynn (J)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.
Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW 2006, Australia.

Michelle Lincoln (M)

Faculty of Health, The University of Canberra, Bruce, ACT 2617, Australia.

Rachael Moir (R)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.

Yvonne Dimitropoulos (Y)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.

Donna Taylor (D)

Pius X Aboriginal Health Service, Moree, NSW 2400, Australia.

Tim Agius (T)

Durri Aboriginal Corporation Medical Service, 15-19 York Lane, Kempsey, NSW 2440, Australia.

Heather Finlayson (H)

Brewarrina Multipurpose Health Service, 56 Doyle Street, Brewarrina, NSW 2839, Australia.

Robyn Martin (R)

Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia.

Katrina Ward (K)

Brewarrina Aboriginal Health Service, 5-7 Sandon Street, Brewarrina, NSW 2839, Australia.

Susannah Tobin (S)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.

Kylie Gwynne (K)

The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia.
Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia.
ORCID: 0000-0002-6897-4528

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Enablers and Barriers to Accessing Healthcare...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Enablers and Barriers to Accessing Healthcare...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Accessibilité des services de santé › Enablers and Barriers to Accessing Healthcare...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de santé pour autochtones › Enablers and Barriers to Accessing Healthcare...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Enablers and Barriers to Accessing Healthcare...
questionsmedicales.fr › Personnes › Populations d'Océanie › Populations d'Australasie › Population originaire des îles du Pacifique › Hawaïen autochtone ou autre insulaire du Pacifique › Enablers and Barriers to Accessing Healthcare...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Nouvelle-Galles du Sud › Enablers and Barriers to Accessing Healthcare...