What do GPs need to work more effectively with Aboriginal patients? : views of Aboriginal cultural mentors and health workers

Background: Given the health inequity faced by Aboriginal people, it is important that interactions with general practitioners (GPs) are effective and that GPs are aware of issues affecting culturally competent practice. Methods: Semi-structured interviews undertaken with Aboriginal people who had a role in cultural support or mentorship of GPs and registrars in urban or large rural centres were analysed thematically. Results: Fourteen participants contributed to the study. They emphasised that a culturally respectful approach was the most important attribute. Other core knowledge and skills that promote effective relationships and healthcare were categorised as attitudes and approach, communication and consultation skills, culturally aware practices and applied knowledge. Discussion: Respectful attitudes and good communication and consultation skills need to be combined with knowledge of the historical, cultural, social, medical and system factors that impact on healthcare delivery for Aboriginal patients. Access to cultural mentorship or support is important to promote culturally competent practice.