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The governance, funding and delivery of healthcare has created a complex and fragmented healthcare system which struggles to deliver effective patient-centered care. This research took place in the state of New South Wales (NSW) on unceded Aboriginal land and the term Aboriginal will be used hereafter. ACCHOs have demonstrated better performance and outcomes than mainstream general practice. These include Aboriginal Community Controlled Health Organizations (ACCHOs) which provide a range of culturally safe primary health care services specifically for local Aboriginal communities. In addition, various healthcare services exist specifically for priority population groups including Aboriginal and Torres Strait Islander peoples and are delivered by non-government organizations and supported by state and federal government funding. All levels of government are engaged in regulation and compliance. The federal government deals primarily with resource allocation and national policy, while states and territories primarily manage the delivery of healthcare. Conclusions: This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.Īustralia’s healthcare system is structured across three levels of government (Federal, state/territory and local) and eight state/territory jurisdictions with multiple government departments and private and not-for-profit service providers. They were also present across the healthcare system and within all three communities. These themes were often present as both barriers and enablers to healthcare access for Aboriginal people. Results: Thirty-one interviews were conducted in the three communities ( n = 5 coastal, n = 13 remote, and n = 13 border) and six themes identified: (1) Improved coordination of healthcare services (2) Better communication between services and patients (3) Trust in services and cultural safety (4) Importance of prioritizing health services by Aboriginal people (5) Importance of reliable, affordable and sustainable services (6) Distance and transport availability. Thematic analysis identified barriers and enablers. Three communities were selected for their high proportion of Aboriginal people and diverse regional and remote locations. Methods: Semi-structured interviews were conducted with healthcare delivery staff and stakeholders recruited through snowball sampling. This study aimed to investigate barriers and enablers to accessing healthcare services for Aboriginal people living in regional and remote Australia. Aboriginal people experience inequalities in healthcare treatment and outcomes. Background: Australia’s healthcare system is complex and fragmented which can create challenges in healthcare, particularly in rural and remote areas.