| Clinical consultations in an aboriginal community-controlled health service: a comparison with general practice. | |
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MedLine Citation:
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PMID: 9599858 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D P Thomas; R F Heller; J M Hunt |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Australian and New Zealand journal of public health Volume: 22 ISSN: 1326-0200 ISO Abbreviation: Aust N Z J Public Health Publication Date: 1998 Feb |
Date Detail:
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Created Date: 1998-06-19 Completed Date: 1998-06-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9611095 Medline TA: Aust N Z J Public Health Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 86-91 Citation Subset: IM |
Affiliation:
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Danila Dilba Biluru Butji Binnilutlum (Medical Service), Darwin. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Australia Child Child, Preschool Community Health Centers / statistics & numerical data* Community Medicine / methods, statistics & numerical data* Family Practice / methods, statistics & numerical data* Female Health Care Surveys Humans Infant Male Middle Aged Oceanic Ancestry Group* Physician's Practice Patterns / statistics & numerical data Questionnaires Referral and Consultation / statistics & numerical data*, trends Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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