Geographical remoteness of patients |
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Inadequate public transport to regional centres
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Inappropriate, unavailable or costly accommodation in regional centres
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Disorientation and fear experienced in unfamiliar urban centres
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Dislocation from family
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Cultural inappropriateness of services |
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Poor appreciation by hospital staff of the needs of indigenous people and communities
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Concepts of health, illness and medicine that may be unfamiliar to patients
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Poor doctor-patient communication |
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Indigenous people with limited English language skills
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Limited appreciation by medical staff of need for interpreters
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Inadequate access to interpreters
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Lack of family and familiar health staff in attendance
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Difficulty obtaining informed consent
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Poverty |
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Health service structure |
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