Communication between hospitals and isolated aboriginal community health clinics.
OBJECTIVE
This study described the communication dynamics, identified problems and recommended changes to improve patient follow-up and communication between Royal Darwin Hospital (RDH) and isolated Aboriginal community health clinics (CHC) in the Northern Territory (NT).


METHODS
In 1995, staff interviews were conducted and an audit of isolated Aboriginal patients' RDH discharge summaries (DS).


RESULTS
Eighteen per cent of RDH DSs never arrived in CHCs. DSs were often prepared late and more likely to be in CHC records if written on time and if the referral source was specified. Interviews revealed discontent between CHCs and RDH regarding: communication, DS documentation, the supply of discharge medication, as well as different hospital and community perceptions of Aboriginies' reliability to carry a DS and CHC desire for patients to be given DSs at discharge.


CONCLUSIONS
Aboriginal patients should be given a DS at discharge and resident medical officers should be educated as to the function and importance of the DS. In 18 months following this study, RDH appointed unit-based Aboriginal health workers and a policy was produced for written communication between hospital and CHCs, as well as a discharge planning manual for Aboriginal communities.


CONCLUSIONS
Projects investigating communication between hospitals and isolated Aboriginal clinics and patient follow-up may result in significant policy changes concerning these processes.
D001315:Australia; D003142:Communication; D003151:Community Health Centers; D019538:Health Care Surveys; D006786:Hospitals, Urban; D006801:Humans; D007373:Interinstitutional Relations; D008485:Medical Audit; D008507:Medically Underserved Area; D015876:Northern Territory