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As two participants noted: "It's driven by the fact that the health care system has failed that population…When they are trying to access care in the mainstream facility, they experience discrimination and disrespect and poor care.
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Studies have shown more positive outcomes for CALD residents of ethno-specific facilities, compared to those in mainstream facilities.
Goh, Low and Brodaty [ 17] compared levels of depression amongst Chinese residents in ethno-specific and mainstream facilities.
The potential for mainstream facilities to provide culturally appropriate care has been outlined [ 18] and other authors have argued that there is a need for both ethno-specific and mainstream facilities as well as a partnership model where both types of facilities support each other and work together for the benefit of clients and families [ 19].
(Participant)" Male partners in particular were reported as being loathe to spend time in the waiting room, opting instead to use mainstream facilities: " Yeah they (male partners) wait outside (they) don't feel comfortable.
Crucially, medical-pedagogic commissions decide on whether the child should be directed to a mainstream education facility or to a special education boarding school.
Some adolescents reported that having a separate youth clinic would improve access to services by overcoming concerns about privacy at mainstream health facilities.
Many patients are reluctant to turn to mainstream health facilities, such as their own GP, and turn instead to more secretive and less personal forms of care, such as genitourinary medicine clinics.
This study may have implications for the perceived importance of clinical exercise within mainstream psychiatric facilities, and has the potential to lead to greater investment in the physical wellbeing of people with mental health conditions.
The limitation of the study is that our findings are limited to data obtained from interested participants who worked in mainstream healthcare facilities in only four communities and therefore, these might be different in other settings.
While our findings are limited to data obtained from interested participants who worked in mainstream healthcare facilities in only four communities in one state of Australia, a strength of the study was that these views were triangulated by interviews with dental practitioners who had visited these communities or were from surrounding towns.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com