Shared medical appointments for Aboriginal and Torres Strait Islander men.
BACKGROUND
Aboriginal and Torres Strait Islander health is generally the worst of any population group in Australia. Inaccessibility to health services is one possible cause of this. Shared medical appointments (SMAs) appear to be a culturally competent and appropriate way of improving access to, and the quality of, primary healthcare services for Aboriginal and Torres Strait Islander peoples.


OBJECTIVE
The objective of this article is to assess the acceptability and appropriateness of SMAs as an adjunct process in primary care for Aboriginal and Torres Strait Islander men.


METHODS
As part of a broader study on SMAs, three SMA sessions were delivered at an Aboriginal men's health centre in northern New South Wales. One-day training sessions in SMA facilitation were also provided to two groups of 12-14 Aboriginal health workers (AHWs). Mixed methods were used to assess patient and provider satisfaction, subjective outcomes, and operational procedures in the SMA groups, as well as interest in the SMA process by AHWs.


RESULTS
Satisfaction with SMAs among Aboriginal men was unanimously positive, with the numbers in the group increasing over time. Patients most enjoyed the 'yarn up' nature of SMAs with peer support, which reduced the 'scary' and culturally 'unnatural' nature of one-on-one consultations with a general practitioner (GP). AHWs who were trained to a level to conduct SMAs saw this as an effective way of improving cultural competence in, and accessibility of, their various Aboriginal health services.


CONCLUSIONS
The results, though not generalisable, suggest that SMAs may offer a culturally safe and appropriate tool to enhance Aboriginal and Torres Strait Islander peoples' access to primary care.
RN, PhD, FACN, Associate Professor, Health and Human Sciences, Southern Cross University, Lismore, NSW.
John A
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Stevens
John
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Dixon
Andrew
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Binns
Bob
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Morgan
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Richardson
Garry
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Egger
D000293:Adolescent; D000328:Adult; D001071:Appointments and Schedules; D001315:Australia; D006297:Health Services Accessibility / Q000458:organization & administration; D006303:Health Services, Indigenous / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D055815:Young Adult; D000095283:Australian Aboriginal and Torres Strait Islander Peoples