Exploring what GP registrars consider distinctive to consultations with Aboriginal and Torres Strait Islander patients: A mixed-methods study

Article

Brumpton, Kay, Woodall, Hannah, Evans, Rebecca, Neill, Henry, Sen Gupta, Tarun, McArthur, Lawrie and Ward, Raelene. 2024. "Exploring what GP registrars consider distinctive to consultations with Aboriginal and Torres Strait Islander patients: A mixed-methods study." BMJ Open. 14 (5). https://doi.org/10.1136/bmjopen-2023-082137

Article Title	Exploring what GP registrars consider distinctive to consultations with Aboriginal and Torres Strait Islander patients: A mixed-methods study
ERA Journal ID	200230
Article Category	Article
Authors	Brumpton, Kay, Woodall, Hannah, Evans, Rebecca, Neill, Henry, Sen Gupta, Tarun, McArthur, Lawrie and Ward, Raelene
Journal Title	BMJ Open
Journal Citation	14 (5)
Article Number	e082137
Number of Pages	9
Year	2024
Publisher	BMJ
Place of Publication	United Kingdom
ISSN	2044-6055
Digital Object Identifier (DOI)	https://doi.org/10.1136/bmjopen-2023-082137
Web Address (URL)	https://bmjopen.bmj.com/content/14/5/e082137
Abstract	Background and objective Understanding what general practice (GP) registrars consider as distinctive in their consultations with Aboriginal and Torres Strait Islander patients may help bridge the gap between patient-determined cultural safety and current medical and behavioural practice. This project seeks to explore what GP registrars perceive as distinctive to their consultations with Aboriginal and Torres Strait Islander patients. Methods This mixed-methods study involved a survey considering demographic details of GP registrars, questionnaire regarding attitude and cultural capability, and semistructured interviews. Results 26 registrars completed the survey. 16 registrars completed both the survey and the interview. Despite recognising a need to close the gap on health outcomes for Aboriginal and Torres Strait Islander peoples and wanting to do things differently, most registrars adopted a generic approach to all consultations. Discussion This study suggests that overall, GP registrars want to improve the health of Aboriginal and Torres Strait Islander patients, but do not want their consultations with Aboriginal and Torres Strait Islander patients to be distinctive. Registrars appeared to approach all consultations in a similar manner using predominantly patient-centred care principles. Given the importance of a culturally safe consultation, it is important for us to consider how to increasingly transform these learners and teach cultural safety in this context.
Keywords	health equity
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	450418. Aboriginal and Torres Strait Islander remote health
Byline Affiliations	Rural Medical Education Australia, Australia
	James Cook University
	Griffith University
	University of Adelaide
	University of Southern Queensland

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