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Managing two worlds together Stages 1 & 2: City hospital care for country Aboriginal people

This project (parts 1 and 2 of Managing Two Worlds Together) gathered and confirm evidence about the barriers to good care for Aboriginal patients (particularly those living in rural and remote areas) when they need to be admitted to hospitals (particularly Adelaide public hospitals). The main focus is to work with mainstream and Aboriginal health services to test and evaluate methods of improving care.

Its goal was to improve knowledge of what works well and what needs improvement in the health care system for Aboriginal patients from rural and remote areas of South Australia (and parts of the Northern Territory). It explored their complex patient journeys and what happens when they come to Adelaide for hospital care.

The project was designed to contribute to continuing efforts to address these problems. It strengthened understanding of the current pattern of utilisation of metropolitan public hospital care by Aboriginal people, particularly those from rural and remote areas; and of the gaps in service models and barriers against access to good quality care in the mainstream health system for Aboriginal people. A subsequent stage of the research program (Part 3) used the results of this stage to trial and/or evaluate methods of addressing the gaps and barriers.

The project is based on four separate studies:

  • Study 1—Report on Admissions and Costs analyses the patterns of admission and length of stay of country Aboriginal patients in city public hospitals
  • Study 2—Staff Perspectives on Care for Country Aboriginal Patients reports the views of staff who provide care for country Aboriginal patients in city and country hospitals and health services
  • Study 3—The Experiences of Patients and Their Carers is a first-hand report of rural Aboriginal patients and their carers
  • Study 4—Complex Country Aboriginal Patient Journeys maps four journey case studies, and analyses gaps and breakpoints in those care journeys.
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Created: 25 July 2012 - Updated: 04 October 2018