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Accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people

Thomas, D, Anderson, IP and Kelaher, M (2008). Accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people. Australian Health Review,32(4):648-654.

Document type: Journal Article

IRMA ID 10092xPUB25
Title Accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people
Author Thomas, D
Anderson, IP
Kelaher, M
Journal Name Australian Health Review
Publication Date 2008
Volume Number 32
Issue Number 4
ISSN 0156-5788   (check CDU catalogue open catalogue search in new window)
Start Page 648
End Page 654
Total Pages 7
Place of Publication Australia
Publisher Australiasian Medical Publishing Company
Field of Research 1117 - Public Health and Health Services
1605 - Policy and Administration
HERDC Category C1 - Journal Article (DEST)
Abstract OBJECTIVES: To examine the accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people compared with other Australians.

METHODS: We examined 2004-05 data from the National Non-admitted Patient Emergency Department Care database from the Northern Territory and Western Australia, the only jurisdictions where Indigenous identification in the database was considered acceptable.

RESULTS: In the NT, Indigenous people were 1.7 times as likely to present to an emergency department as non-Indigenous people. Indigenous patients in the NT and WA do not appear to use EDs for "primary care" problems more than non-Indigenous patients. More NT Indigenous patients walked out before being seen or before their treatment was completed. However, Indigenous patients generally waited a similar time, and often slightly shorter, to be seen as similar non-Indigenous patients in WA and the NT.

CONCLUSIONS: We recommend the regular monitoring of equity in the accessibility and quality of ED care for Indigenous people compared with other Australians. Indigenous identification in the database needs to improve so monitoring of ED performance can extend beyond WA and the NT.
DOI http://dx.doi.org/10.1071/AH080648   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 28 Apr 2009, 13:58:55 CST by Sarena Wegener