Stage 1: Understanding the problems

 Project Report

Download: Project Report (PDF 1MB) to view offline and print

 Report on Admissions and Costs 

Download: Report on Admissions and Costs (PDF 1MB) to view offline and print

 Staff Perspectives 

Download: Staff Perspectives (PDF 1MB) to view offline and print

 The Experiences of Patients and Their Carers 

Download: Experiences of Patients and Carers (PDF 1MB) to view offline and print

 Complex Country Aboriginal Patient Journeys 

Download Complex Country Aboriginal Patient Journeys (PDF 1MB) to view offline and print

Stage 2: Exploring solutions and strategies

Patient Journey Mapping Tools

Download Patient Journey Mapping Tools (PDF 1MB) to view offline and print

Short version Patient Journey Mapping Tool with cardiac example (PDF 82KB)

Tools in Word for wider use (DOCX 21KB)

Stage 3: Improving Aboriginal patient journeys

Study Report

Download and print pdf Study Report (PDF 3MB)

Workbook

  Download and print pdf Workbook (PDF 3MB)

Renal Case Studies

Download and print pdf Renal Case Studies (PDF 3MB)

Cardiac Case Studies

Download and print pdf Cardiac Case Study (PDF 3MB)

Maternity Case Studies

  Download and print pdf Maternity Case Studies (PDF 3MB)

Rural and Remote Sites

Download and print pdf Rural and Remote Sites Case Studies (PDF 3MB)

City Sites

Download and print pdf City Sites Case Studies (PDF 3MB)

The Managing Two Worlds Together project aims to add to existing knowledge of what works well and what needs improvement in the system of care for Aboriginal patients from rural and remote areas of South Australia (and parts of the Northern Territory). It explores their complex patient journeys and what happens when they come to Adelaide for hospital care

The relationship between patients and health care providers is the foundation of care and requires communication across cultures, geography and life experiences. As a staff member in one rural Aboriginal Community Controlled Health Service put it: ‘It's like managing two worlds together, it doesn't always work'.

Stage 1 (2008-2011) of the project focuses on the problems. Four studies were conducted and are reported in six documents:

  • Managing Two Worlds Together: City Hospital Care for Country Aboriginal People Project Report
  • Managing Two Worlds Together: City Hospital Care for Country Aboriginal People Community Summary
  • Managing Two Worlds Together: Study 1-Report on Admissions and Costs
  • Managing Two Worlds Together: Study 2-Staff Perspectives on Care for Country Aboriginal Patients
  • Managing Two Worlds Together: Study 3-The Experiences of Patients and Their Carers
  • Managing Two Worlds Together: Study 4-Complex Country Aboriginal Patient Journeys

Stage 2 (2012) focuses on solutions and consists of a small set of action research projects. During 2012 the research team worked with partner organisations in this study to develop and/or document the implementation of strategies to improve the health care journeys for country Aboriginal patients, based on existing good practice and on the findings of Stage 1.

  • Managing Two Worlds Together: Stage 2-Patient Journey Mapping Tools

Stage 3 (2013–15) focused on working with staff in a range of different settings to modify, adapt and test the patient journey mapping tools developed in Stage 2.  These were then used specifically for quality improvement in health care and education.  The research team and staff participants working together in a range of health care and education settings in South Australia and the Northern Territory. The aim was to modify, adapt and test the Aboriginal PJM tools developed in Stages 1 and 2. As the project progressed the basic set of tools was further developed with flexible adaptations for each site. This involved three steps – Preparing to map the patient journey, Using the tools and Taking action on the findings – and organised into 13 tasks with prompt questions. Careful consideration was given as to how the information that emerged from the use of the tools could best highlight communication, coordination and collaboration gaps within and between different health care providers (staff, services and organisations) so as to inform the design of effective strategies for improvement. These were compared and combined with existing policies, practice and protocols.

  • Managing Two Worlds Together: Stage 3-Improving Aboriginal Patient Journeys-Study Report
  • Managing Two Worlds Together: Stage 3-Workbook (V1)
  • Managing Two Worlds Together: Stage 3-Improving Aboriginal Patient Journeys-Case Studies
    • Renal
    • Cardiac
    • Maternity
    • Rural and Remote Sites
    • City Sites

Cover Artwork: Rama Sampson painting (no.74) titled Kuntjanu - Mingkiri Tjuta Tjukurpa (Marsupial Mouse Dreaming) Certificate (PDF 567KB) courtesy Better World Arts. 

For more information about the Managing Two Worlds Together Project:

Please contact Tiffany Carlin, tiffany.carlin@flinders.edu.au, ph 08 82017755.

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