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Type: Journal article
Title: Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients
Author: Thomson, A.
Morgan, S.
O'Mara, P.
Tapley, A.
Henderson, K.
van Driel, M.
Oldmeadow, C.
Ball, J.
Scott, J.
Spike, N.
McArthur, L.
Magin, P.
Citation: Australian and New Zealand Journal of Public Health, 2016; 40(Suppl. 1):S75-S80
Publisher: Wiley
Issue Date: 2016
ISSN: 1326-0200
Statement of
Allison Thomson, Simon Morgan, Peter O’Mara, Amanda Tapley, Kim Henderson, Mieke van Driel, Christopher Oldmeadow, Jean Ball, John Scott, Neil Spike, Lawrie McArthur, Parker Magin
Abstract: Objective: General practice is central to Aboriginal and Torres Strait Islander health care, and this area is a core element of Australian general practice (GP) training. We aimed to describe the prevalence, nature and associations of GP registrar encounters with Aboriginal and Torres Strait Islander patients. Methods: A cross-sectional analysis from a cohort study of GP registrars’ clinical consultations 2010–2013. Registrars record demographic, clinical and educational details of consecutive patient encounters. Multivariable associations were tested with logistic regression. Results: A total of 592 registrars contributed data from 69,188 consultations. Encounters with Aboriginal and Torres Strait Islander patients comprised 1.0% of consultations. Significant positive associations included younger patient age; new patient to the registrar; lower socioeconomic status of practice location; non-urban practice setting; more problems managed; and follow-up arranged. A greater proportion of Aboriginal and Torres Strait Islander patients’ problems were psychological/social and a lesser proportion were cardiovascular. Consultation duration did not differ between the two groups. Conclusions: GP registrars encounter Aboriginal and Torres Strait Islander patients less than do established GPs. Our results suggest possible variability in registrar experience of Aboriginal and Torres Strait Islander health. Implications: Our findings will inform training of a culturally and clinically competent workforce in this area.
Keywords: Health services; Indigenous; family practice; general practice
Rights: © 2015 The Authors This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. The authors have stated they have no conflict of interest.
DOI: 10.1111/1753-6405.12412
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