Research report

Managing two worlds together stage 3: improving Aboriginal patient journeys - study report

2 Jun 2015

Managing Two Worlds Together: Improving the Aboriginal Patient Journey

Health care is delivered in specialised segments, but mostly succeeds or fails as a package. Tracking patients’ experience, or journey, through the system is an effective way to evaluate how and why the package works – or doesn’t.

Focusing on South Australia and the Northern Territory and building on earlier research, the Managing Two Worlds Together Stage 3 study analysed some of the critical segments and gaps in the Aboriginal patient journey. It produced practical tools that can be used by health professionals, patients and their families to identify what support is needed, and how coordination, communication, collaboration and cultural safety can be improved. Better patient journeys will deliver better health outcomes for Aboriginal people.

Funded by the Lowitja Institute, this research was conducted by a team from Flinders University, the University of Adelaide, South Australian Health and Medical Research Institute, the Aboriginal Health Council of South Australia, and SA Health, working closely with patients and their families, and with health care practitioners in city, rural and remote health sites.

This work addresses one of the priorities identified in the National Partnership Agreement on Closing the Gap in Indigenous Health Outcomes agreed to by COAG in 2008.

Managing Two Worlds Together Stage 3 produce a study report, a workbook and case studies and case studies in cardiac, renal and maternity care as well as city, rural and remote sites are available from the Lowitja Institute [] and Flinders University [


Authors: Janet Kelly, Judith Dwyer, Brita Pekarsky, Tamara Mackean, Eileen Willis, Charlotte de Crespigny, Sharon Perkins, Kim O’Donnell, Rosie King, Laney Mackean, Alex Brown, Monica Lawrence and Karen Dixon

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