closing the gap Flashcards
week 4
What is the difference in mortality rates for male/female ATSI vs male/female non-ATSI
Female= 9.7yrs
Male = 11.4
How much larger is the burden of disease and hospitalisation rate for ATSI vs Non?
2.5x greater burden of disease
2.8x hospitalisation rate
Key social determinants that impact health of Aboriginal and Torres Strait Islander peoples
Work: low income
Unemployment: high unemployment
Low socioeconomic status
Poor education attainment
How can we effectively close the life expectancy gap?
Address behavioral risk factors for disease (smoking, obeisty and alcohol)
What are two effective examples of closing gap via upstream approaches?
address housing issues, reduce overcrowding = reduce transmission
access to washing facilities= prevention
What three things are needed to create patient-centred care that will aid in closing the gap?
Involving patient’s agenda, understanding of contextual factors via social history and shared decision-making
Changes in health outcomes and opportunities for Aboriginal and Torres Strait Islander people
Increase access to Medicare and PBS
Increase in GP plans
Twice the number of Aboriginal health services
Indigenous people access services at same rate as Australians (but should be greater due to higher mortality and morbidity rate)
impact of ATSI culture on prevention
Must account for cultural influences (obligation, kinship and beliefs)
Involve extended family
impact of ATSI culture on diagnosis
Beliefs –> delayed diagnosis due to diff perception
Connection to country –> reluctance to leave country
Systemized and individualized racism –> avoid health services
impact of ATSI culture on treatment
Connection to land –> fear about never returning home
Beliefs –> traditional medicine, fears about hospital and illness perception
Providers may be poor communicators or unwelcoming
Why was ACCHS developed
Practical expression of Aboriginal self-determination over health matters
Did not trust existing services
Could not afford services
Received poor level of services
Services did not address differing needs
Why are ACCHS appealing to the ATSI community?
Controlled by local ATSI community
Employs ATSI health workers
Culturally appropriate
Specific to ATSI
When and where was ACCHS first established?
Redfern, Sydney 1971
What are benefits of having a Aboriginal Health Worker to enhance health care delivery for ATSI population?
builds trust
prevents discrimination
makes access more likely
acts as a ‘cultural broker’
creates an understanding of culture and community
