Exploring Aboriginal people's experience of relocation for treatment during end-of-life care.
OBJECTIVE
to explore indigenous peoples' experience of relocation for medical treatment during end-of-life care.


METHODS
the data were collected from 72 qualitative interviews conducted throughout the regional, rural and remote areas of the Northern Territory, Australia, with Aboriginal patients and carers and the health professionals who cared for them.


RESULTS
relocation for indigenous peoples is a frightening experience. There are a myriad of fears including: the fear of leaving home, especially for people who had never been away from their home lands; the fear of dis-empowerment associated with leaving the support of family networks; fears about hospital environments and 'high-tech' treatments; fear of cultural alienation for familiar foods and ways of being; fear of travel; fear of loneliness; fear of language and communication barriers; financial fears; and fear of dying away from the homeland.


CONCLUSIONS
the findings demonstrate the strong need for building-up local palliative care services and raise significant questions about the cultural appropriateness of the Western biomedical rationale for relocation during end-of-life care.
McGrath
Pam
P
International Programme for Psycho-social Health Research, Central Queensland University, Brisbane Office, PO Box 1307, Kenmore, Brisbane, Queensland 4069, Australia. pam_mcgrath@bigpond.com
D003430:Cross-Sectional Studies; D006301:Health Services Needs and Demand; D006303:Health Services, Indigenous; D006801:Humans; D008507:Medically Underserved Area; D015876:Northern Territory; D010166:Palliative Care; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010360:Patient Transfer; D013727:Terminal Care