First people and closing the gap

Question 1

List the social determinants of health

Answer 1

Environment (water, sewage, native title and lang, social and cultural benefits, climate change, extreme weather)

Racism (interpersonal, systemic, institutional, structural)

Culture (promote a strength based perspective)

Other aspects include:
- employment status
- feeling safe in the community
- education
- money
- connection to friends and family
- connection to land
- historical past of removal

Question 2

What are the cultural determinants of health?

Answer 2

Protective factors that enhance resilience, strengthen identity and support good health and wellbeing.
These include:
connection to Country
family, kinship and community
beliefs and knowledge
cultural expression and continuity
language
self-determination and leadership

Question 3

What is the Aboriginal concept of health?

Answer 3

Health is not just the physical wellbeing of the
individual but the social, emotional and cultural
wellbeing of the whole community. This is a whole life approach.

Question 4

List factors that make health services more accessible

Answer 4

Having Aboriginal and Torres health workers on staff
Increasing the Aboriginal and Torres people in healthcare
Having culturally competent non-indigenous staff
Making important health services available in rural and remote locations;
Funding health services so they are affordable

Question 5

What factors contribute to poor health outcomes?

Answer 5

Nutrition - fresh food unavailable and expensive
Tobacco and alcohol use
Social factors (dispossession, dislocation and discrimination)
Education factors ( schooling)
Economic factors( income and employment)
Physical elements (housing)

Question 6

What is NACCHO?

Answer 6

National Aboriginal Community Controlled Health Organisation
- community based care
- over 150 services
-primary health care service initiated and operated by local Aboriginal community
- can be urbal, regional and remote

Question 7

Describe the Remote Area Aboriginal Health Services

Answer 7

• only applies to specific remote zones
• enables bulk supply of PBS items to the Aboriginal health Services:
• NOT special supply arrangements
• NOT doctors bag
• NOT RPBS medicines
• NOT Sch 8
• NOT extemporaneous items
• The Aboriginal Health Service orders the drugs in bulk from a pharmacy or hospital pharmacy
• The prescriber, nurse or Aboriginal Health Worker supplies to patient
• The pharmacy submits the claim to medicare for bulk items
• NO PBS script written
• No co-payment (free to px)
• Pharmacy paid wholesale price plus fee
• No mark- up and dispensing fee