'They get a bit funny about going'--transfer issues for rural and remote Australian Aboriginal people.

摘要: BACKGROUND The integration of health care among providers to achieve good outcomes has been investigated in urban locations. However, more information is needed about what happens people from rural areas, particularly when travelling away their families and healthcare provider receive hospital care. Therefore, a national project was conducted 2004 that aimed: document the experiences remote areas city hospitals; identify factors affect optimal outcomes; improve exchange between primary staff. Australian Rural Health Education Network (AHREN) coordinated study, which consisted several case studies. This article, part larger investigation, presents segment on issues for Aboriginal living area were identified by local workers, suggestions might assist overcoming them. METHOD Research ethics approval obtained our university, Council. Three employed at community controlled centre, involved transport, consented be audiotaped group interview. They are named researchers. Questions were: What transfer hospital? special problems exist you with? improvements/systems changes would suggest? FINDINGS Funding equity Patient Assisted Transport Scheme (PATS) created problems. Raising payments PATS extra costs clients big issues. Antisocial arrival times, separation family, transport accommodation all caused distress confusion. Potentially dangerous misunderstandings happened through language cultural differences. Traditional unaccompanied risk. Often notification requirements could not met emergencies onsite described as frightening culturally inappropriate. At time interview, Stepdown did cover staying with families. Lack privacy, different understandings family other important continue add stress already suffering. DISCUSSION streamlined user-friendly. Liaison Officers hospitals provide link clients, but unrealistic expectations may placed them they available 24 hours day. Strategies improved communication needed. A space campfire grounds traditional gather assist.