ATSI health Part 2 Flashcards
week 6
Self-determination
Free choice of one’s words, actions or states without external compulsion
What is ownership on an
a) community level
b) individual level
Community
Corporate responsibility and accountability
Individual
Taking responsibility and making decisions
What is an example of ‘ownership’
copyright of indigenous art and land ownership
Consultation
Process of discussing something in order to get advice/ opinion
Partnership
Collaboration/ alliance allowing shared information/ decision-making
ATSO health expenditure trends
Avg money spent on health per person 1.3x higher for Indigenous people
Lower utilisation of MBS and IBS
Improvements in uptake of GP management plans
What were the historical trends relating to ATSI health expenditure?
Compartmentalised allocation
Debate over who has responsibility
what is the role of Gov/ public health services in ATSI health?
Pub hospitals
Community health problems ‘
Public health programs
Indigenous specific health programs
Indigenous Health Worker/ Hospital Liaison Officer
what is the role of GPs (Private) services in ATSI health?
- government primary care incentives
- inadequate remuneration for time to do Health Checks
- focus on fee-for-service
- inability to identify with community and cultural communication barriers
- clients don’t keep regular appointments
- limited ownership
Suggest ways to improve a GP clinic for ATSI population.
Partnership with Ingenious community
Bulk billing arrangements
Accessible locations
Allocated days for indigenous patients
Transport
Cultural awareness training for GPs
Roles of ACCHS
governed by a Board elected by the local community
holistic, culturally appropriate, primary health care services to the community
funded by Federal/ State government through Medicare and grants
access Practice Incentive Payment (PIP) funds
recruit ATSI health workers
Programs and services of ACCHS
general practice medical clinic
mental health, social emotional wellbeing service
dental/ allied health services
antenatal care/ Mums and Bubs program
child protection and alternative service
support accommodation
Features of ATSI health practitioner
holds a Cert IV PHC (practice stream)
registered under AHPRA - more clinical
majority work remotely/ ACCHS’s
identifies as ATSI
features of ATSI Health worker
- holds a Cert IV PHC (community stream)
- less clinical, work in the community
- identifies as ATSI
When was the NAHS and what are its goals?
1989
multisector collaboration addressing SDoH
coordination of funding
emphasis on long-term approach
When was the National Strategic Framework for ATSI Health and what are its goals?
2003
focus on joint planning with community
targets health care based on needs
focus on access to primary health care
improve the collection and use of data/ stats
When was the Closing The Gap initiative and what are its goals?
-reduce ATSI disadvantage
- improve life expectancy, child mortality/ education, education and employment outcomes
- state and Federal commitment
- ACCHS funding and primary care incentives
2008
When was the ATSI Health Workforce Strategic Fraemwork and what are its goals?
2011-15
- recruitment of Indigenous people in health
- training and education in health
- making the health workforce culturally competent with skills to work in Indigenous health
What is the National ATSI Health Plan and when was it
- continue CTG
focus on the key principles of:- health equality and a Human Rights approach
- community control and engagement
- partnership and accountability
2013-2023
