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Clinical consultations in an aboriginal community-controlled health service: a comparison with general practice

Thomas, DP, Heller, RF and Hunt, JM (1998). Clinical consultations in an aboriginal community-controlled health service: a comparison with general practice. Australian and New Zealand Journal of Public Health,22(1):86-91.

Document type: Journal Article
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Title Clinical consultations in an aboriginal community-controlled health service: a comparison with general practice
Author Thomas, DP
Heller, RF
Hunt, JM
Journal Name Australian and New Zealand Journal of Public Health
Publication Date 1998
Volume Number 22
Issue Number 1
ISSN 1326-0200   (check CDU catalogue open catalogue search in new window)
Start Page 86
End Page 91
Total Pages 6
Place of Publication Australia
Publisher Wiley-Blackwell Publishing Asia
HERDC Category C1 - Journal Article (DEST)
Abstract Clinical consultation at Danila Dilba, an Aboriginal community-controlled health service in Darwin, were compared with consultations in Australian general practice. We described 583 consultations, using a questionnaire based on the International Classification of Primary Care. The methods were similar to those of the Australian Morbidity and Treatment Survey (AMTS) of consultations in Australian general practice undertaken by the University of Sydney Family Medicine Research Unit. Compared with Australian general practice consultations, consultations with Danila Dilba were more complex: more young patients, more new patients, more home visits, more problems managed, more new problems and more consultations leading to emergency hospital admission. Skin infections, diabetes mellitus, chronic alcohol abuse, rheumatic heart disease (or rheumatic fever) and chronic suppurative otitis media were much more commonly managed at study consultations at Danila Dilba than at consultations with general practitioners in the AMTS. Nearly all patients saw an Aboriginal health worker first, and nearly half the consultations were with Aboriginal health workers alone. The results suggest possible limitations of fee-for-item Medicare funding of Aboriginal community-controlled health services compared with existing block grant funding.
Keywords aboriginal
Clinical
community
health service
DOI http://dx.doi.org/10.1111/j.1467-842X.1998.tb01150.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes 3910 (Journal) DA - 19980619IS - 1326-0200 (Print)LA - engPT - Comparative StudyPT - Journal ArticleSB - IM
 
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