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Understanding experiences of Aboriginal and/or Torres Strait Islander patients at the emergency departments in Australia
Authors:Muhammad Aziz Rahman MBBS  MPH   CertGTC  GCHECTL   PhD  Md Nazmul Huda BSS  MSS   PhD  Emma Somerville BA    MSocio  MCounsel  Lauren Penny BJourn  LLB   GDLP  Ryan Dashwood BSc  MBBS   GradCertHthSci    FACEM  Sharon Bloxsome DipHthSci  Keith Warrior DipHthSci  Katie Pratt  Margaret Lankin DipHthSci   Kevin Kenny  Kerry Arabena BSocWork  PhD
Affiliation:1. Institute of Health and Wellbeing, Federation University Australia, Melbourne, Victoria, Australia;2. School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia

School of Medicine, Translational Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia;3. Karabena Consulting, Riddells Creek, Victoria, Australia;4. Shoalhaven District Memorial Hospital, Nowra, New South Wales, Australia;5. SA Health, Adelaide, South Australia, Australia;6. Central Australian Health Service, Alice Springs, Northern Territory, Australia

Abstract:

Objectives

The present study describes the experiences of Aboriginal and/or Torres Strait Islander patients and the factors that shaped their experiences of ED visits in regional settings.

Methods

This is a qualitative descriptive study. We conducted semi-structured in-depth interviews with Aboriginal and/or Torres Strait Islander patients who used the ED services at three hospitals in New South Wales, Northern Territory and South Australia. We coded the collected data and analysed them using a thematic analysis technique.

Results

A total of 33 Aboriginal and/or Torres Strait Islander patients participated. Analyses of their experiences revealed four themes, which included: (i) patients' waiting times in ED; (ii) cultural determinants of health; (iii) treatment services; and (iv) safety, security and privacy.

Conclusions

A holistic approach and a robust hospital commitment to address cultural needs while considering overall health, social and emotional wellbeing, will enhance Aboriginal and/or Torres Strait Islander patients' satisfaction for ED visits.
Keywords:Aboriginal  Australia  emergency departments  experience  First Nations People
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