It hinges on the door: Time, spaces and identity in Australian Aboriginal Health services

What Indigenous Australian clients value about primary health care: a systematic review of qualitative evidence

“…The results from the methodological quality assessment are provided in Supplementary file 3. One was rated high quality, 28 seven were rated good quality, 27,29,34 and one, reported in two articles, was rated moderate quality 25,26 . A lack of clarity about how researchers' values and prior knowledge influenced studies was the main methodological concern potentially undermining the credibility of the findings that informed our syntheses.…”

“…Four used focus groups and interviews, 27,31–33 four used only interviews, 25,26,28,30 and one used only focus groups. 34 Five of the studies adjusted their methodology to align with the unique ethical and methodological standards relevant to research with Indigenous Australians 28–30,33,34 . Based on an estimation of 75 participants in one study that employed focus groups, 27 a total of 811 study participants informed the meta‐syntheses (including 640 from one study) 31 .…”

“…home visits), staff who were easily contactable, and staff meeting patients in public areas such as shopping centres 25–27 . Culturally safe care was described as care delivered by providers who were good, 28 who understood clients and knew how to meet their needs, 29 who spent sufficient time with patients and who respected culture, 29 in an environment that made clients feel comfortable 34 . ACCHOs' welcoming environment was described as including an emotional and relational dimension 27,29,33 .…”

“…Culturally safe care was described as care delivered by providers who were good, 28 who understood clients and knew how to meet their needs, 29 who spent sufficient time with patients and who respected culture, 29 in an environment that made clients feel comfortable 34 . ACCHOs' welcoming environment was described as including an emotional and relational dimension 27,29,33 . The relational dimension was reflected in clients' relating how they felt welcome in ACCHOs because they saw people who were familiar to them, and who understood them, both in the waiting room and in the clinical space 27,28 .…”

“…Clients indicated that they valued this because it gave them a sense of belonging 27,28 . The emotional dimension of the welcoming environment was evidenced in descriptions of ACCHOs as social meeting places, where friends offered and received support 28,29 . The following client voices are illustrative of how clients described ACCHOs' welcoming environment:…”