Experiences and views of a brokerage model for primary care for Aboriginal people
Sarah Dennis A D , Iqbal Hasan A , Lisa Jackson Pulver B , Ian Wilson C and Nicholas Zwar AA Centre for Primary Health Care and Equity, UNSW Australia, Sydney, NSW 2052, Australia. Email: i.hasan@unsw.edu.au; n.zwar@unsw.edu.au
B School of Public Health and Community Medicine, UNSW Australia, Sydney, NSW 2052, Australia. Email: l.jackson-pulver@unsw.edu.au
C School of Medicine, University of Wollongong, Wollongong, NSW 2522 Australia. Email: ianwil@uow.edu.au
D Corresponding author. Email: s.dennis@unsw.edu.au
Australian Health Review 39(1) 26-32 https://doi.org/10.1071/AH13205
Submitted: 24 March 2014 Accepted: 1 September 2014 Published: 16 October 2014
Abstract
Objective A mixed methods study was conducted to determine the views of Aboriginal people on their experiences of a brokerage model for access to community-based health services in an urban setting.
Methods A broad range of approaches, using surveys, semi-structured interviews and community forums with Aboriginal people were used to find out people’s views and experiences of using the brokerage service.
Results Of the 1304 people invited to participate, only 127 people provided feedback on the brokerage service model for Aboriginal people. Of these, 120 people identified as being Aboriginal. Participants said that the service helped them to navigate the system and access health care. Participants felt that the health professionals involved with the service were respectful of their needs. The service was not able to improve access to dental care.
Conclusions The brokerage model implemented in this area appears to have been well received and is supporting urban Aboriginal people to access some of the health care needed.
What is known about the topic? Aboriginal and Torres Strait Islander people often experience difficulty accessing health services. Urban brokerage models of care were funded by the Office for Aboriginal and Torres Strait Islander Health (OATSIH) under the Improving Indigenous Access to Health Care Services initiative and aimed to increase access to mainstream health services.
What does this paper add? The brokerage model of care in South West Sydney has been well-received by the Aboriginal people receiving the service and participants are positive about the role of the service in increasing access to mainstream health care.
What are the implications for practitioners? Navigating the healthcare system is difficult for some and a brokerage service with supportive Aboriginal health workers increases access.
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