Fjaagesund Shauna, Zang Wenwen, Gadd Raymond, Hart Jayley, Swierkowski Piotr, Ladhams Andrew, Hicks Christopher, Andrew-Starkey Sylvia, Jones Evan, Coman Alexandru, Beccaria Gavin, Oprescu Florin, Hou Xiang-Yu
School of Health, University of the Sunshine Coat, Sippy Downs, QLD 4556, Australia.
General Practice Unit, Faculty of Medicine, University of Queensland, Brisbane, QLD 4072, Australia.
Int J Environ Res Public Health. 2025 Jun 25;22(7):998. doi: 10.3390/ijerph22070998.
To explore Indigenous patients' use of a primary urgent care centre (PUCC) at a co-located general medical practitioner (GP)-led primary healthcare service (GP service) in regional Queensland, Australia, secondary data analysis was conducted using the 65,420 deidentified PUCC patients from 1 July 2020 to 30 June 2021, including Indigenous status. A Mann-Whitney U test and Chi-Square test were used to analyse patients' arrival times, reasons to attend PUCC, and frequency of attendance. The proportion of Indigenous patients from the communities attending the PUCC was 9.8% while the proportion of Indigenous people in the general population was only 3.8%. Indigenous patients were more likely to be new patients to the GP service (13.6% never visited the GP service prior to PUCC) compared to non-Indigenous (9.6%) patients. The peak hours of attendance for Indigenous people were 11 a.m.-12 p.m. and 2 p.m.-3 p.m. while it was 10 a.m.-12 p.m. for non-Indigenous patients. The most common reason for attending PUCC for both patient groups was superficial injuries. The second most common reason was digestive issues for Indigenous patients and musculoskeletal issues for non-Indigenous patients. These findings provide insights for enhancing future PUCC models to better meet the community needs, especially the underserved Indigenous population in regional areas.
为了探究澳大利亚昆士兰州地区由全科医生主导的初级医疗服务机构（全科医生服务机构）中，原住民患者对同址的初级紧急护理中心（PUCC）的使用情况，我们对2020年7月1日至2021年6月30日期间65420名身份信息已被去除的PUCC患者进行了二次数据分析，其中包括原住民身份信息。我们使用曼-惠特尼U检验和卡方检验来分析患者的就诊时间、前往PUCC就诊的原因以及就诊频率。前来PUCC就诊的原住民患者占比为9.8%，而原住民在总人口中的占比仅为3.8%。与非原住民患者（9.6%）相比，原住民患者更有可能是全科医生服务机构的新患者（13.6%在前往PUCC就诊之前从未看过全科医生）。原住民患者的就诊高峰时段为上午11点至中午12点以及下午2点至3点，而非原住民患者的就诊高峰时段为上午10点至中午12点。两个患者群体前往PUCC就诊的最常见原因都是浅表损伤。原住民患者的第二常见原因是消化问题，非原住民患者的第二常见原因是肌肉骨骼问题。这些发现为改进未来的PUCC模式以更好地满足社区需求提供了见解，尤其是地区中未得到充分服务的原住民群体。
