- Title
- Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients
- Creator
- Thomson, Allison; Morgan, Simon; McArthur, Lawrie; Magin, Parker; O'Mara, Peter; Tapley, Amanda; Henderson, Kim; van Driel, Mieke; Oldmeadow, Christopher; Ball, Jean; Scott, John; Spike, Neil
- Relation
- Australian and New Zealand Journal of Public Health Vol. 40, p. S75-S80
- Publisher Link
- http://dx.doi.org/10.1111/1753-6405.12412
- Publisher
- Wiley-Blackwell Publishing
- Resource Type
- journal article
- Date
- 2016
- Description
- 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.
- Subject
- health services; Indigenous; family practice; general practice
- Identifier
- http://hdl.handle.net/1959.13/1343635
- Identifier
- uon:29230
- Identifier
- ISSN:1326-0200
- 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.
- Language
- eng
- Full Text
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