Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients
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 Strai...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-04-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12412 |
| _version_ | 1797708907013996544 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Allison Thomson |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T06:29:29Z |
| format | Article |
| id | doaj.art-e918723ff5c34acb85751c4fc0de4e9c |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T06:29:29Z |
| publishDate | 2016-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-e918723ff5c34acb85751c4fc0de4e9c2023-09-03T01:45:51ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052016-04-0140S1S75S8010.1111/1753-6405.12412Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patientsAllison Thomson0Simon Morgan1Peter O'Mara2Amanda Tapley3Kim Henderson4Mieke van Driel5Christopher Oldmeadow6Jean Ball7John Scott8Neil Spike9Lawrie McArthur10Parker Magin11Discipline of General Practice University of Newcastle New South WalesGeneral Practice Training Valley to Coast New South WalesSchool of Medicine and Public Health Faculty of Health and Medicine; University of Newcastle New South WalesGeneral Practice Training Valley to Coast New South WalesGeneral Practice Training Valley to Coast New South WalesDiscipline of General Practice, University of QueenslandClinical Research Design IT and Statistical Support Unit, Hunter Medical Research Institute New South WalesClinical Research Design IT and Statistical Support Unit, Hunter Medical Research Institute New South WalesGeneral Practice Training Valley to Coast New South WalesDepartment of General Practice University of Melbourne VictoriaAdelaide to Outback GP Training South AustraliaDiscipline of General Practice University of Newcastle New South WalesAbstract 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.https://doi.org/10.1111/1753-6405.12412health servicesIndigenousfamily practicegeneral practice |
| spellingShingle | 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 Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients Australian and New Zealand Journal of Public Health health services Indigenous family practice general practice |
| title | Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients |
| title_full | Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients |
| title_fullStr | Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients |
| title_full_unstemmed | Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients |
| title_short | Clinical encounters of Australian general practice registrars with Aboriginal and Torres Strait Islander patients |
| title_sort | clinical encounters of australian general practice registrars with aboriginal and torres strait islander patients |
| topic | health services Indigenous family practice general practice |
| url | https://doi.org/10.1111/1753-6405.12412 |
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