Health Care Approaches for Indigenous People in Australia
Primary health care refers to a collection of approaches that combines the culture and socio-economic status of the people with their physical, mental, spiritual and environmental aspects in a community. It incorporates practical procedures and technological developments for it to become readily available to everyone (Adrian and Associates 11). In Australia, primary health care is considered to be the main priority of its health system, which includes programs on healthy well-being, proper identification and prevention of illnesses as well as efficient care and treatment of patients in numerous hospitals (AIHW Editors, AIHW Editors 4).
There is a large gap in terms of the health status
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Several factors called social determinants were found to have an impact on the population health and inequalities of indigenous people. Significant factors affecting the health disparities of indigenous Australians include the lack of equal accessibility to primary health care as well as the lower standards set for healthy housing, food, sanitation and hygiene in indigenous communities as compared to non-indigenous Australians (Dick).
Other factors contributing to the health inequalities experienced by indigenous Australians are language barriers, racism, isolation, poverty, and rural location. Indigenous people living in rural communities were found to have lesser accessibility to adequate health care services compared with those living in urban areas. Language barriers, on the other hand, affect the way patients communicate their symptoms to their health care providers, in the same way that providers may experience difficulty in communicating the health status of their patients (Marrone 192). Poverty is characterized by illiteracy, poor education and infant diet, low income, overcrowded housing, and high risk to diseases. It is also deemed as the main factor associated with poor health conditions among indigenous people (Dick). Such factors affecting public health care
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The Australian government funds and administers Medicare, its primary health insurance scheme, in order to offer subsidy for the accessibility of specialized doctors as well as free hospital and pharmaceutical services for in and out-patients (Healy et al. 16). Around 60% of primary health care providers’ wages also come from the patients’ co-payments and taxes (Marrone 195, AIHW Editors). Moreover, the Australian Aboriginals were given the opportunity to implement their rights to control the local health services. The Northern Territory Well Women’s Program operated by a large population of Aboriginal women, for instance, has reached competent rates of cervix screening (by 61%) in the Alice Springs remote area. The Geraldton Regional Aboriginal Medical Service has organized a mental health project in order to decrease the incidence of psychiatric cases among Aboriginal and Torres Strait Islander people by 58%. The Aboriginal women also continues to handle another program, the Townsville Aboriginal and Islander Health Service’s Mums and Babies project, with the goal of increasing the number of antenatal visits made by each woman, thereby significantly reducing prenatal deaths and premature births since 2000. The Daruk Aboriginal Community Controlled Medical Service in Western Sydney has the primary goal of increasing the consciousness of Aboriginal women
Aboriginal health is majorly determined by several social factors that are related to their cultural beliefs. Health professionals regularly find it difficult to provide health care to aboriginal people due to the cultural disparity that exists between the conventional and aboriginal cultures, predominantly with regard to systems of health belief (Carson, Dunbar, & Chenhall, 2007). The discrepancy between the aboriginal culture and typical Western customs seems to amplify the difficulties experienced in every cross-cultural setting of health service delivery (Selin & Shapiro, 2003). Most of the social determinants of the aboriginal health are due to their strict belief in superstition and divine intervention.
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
In 1968 the Commonwealth Office of Aboriginal Affairs was established and acknowledged health as a major area for development and therefore started providing grants for health programs (NACCHO, History in health from 1967, online, 29/8/15). The office was later named the Department of Aboriginal Affairs in 1972, and it began making direct grants to the new aboriginal medical services opening around the nation (NACCHO, History in health from 1967, online, 29/8/15). In 1973 the Commonwealth Department of Health established an Aboriginal Health Branch in order to provide professional advice to the government (NACCHO, History in health from 1967, online, 29/8/15). Throughout the next several years indigenous health was on the radar of importance in the Government, in 1981 the Commonwealth Government initiated a $50 million five year Aboriginal Public Health Improvement plan (NACCHO, History in health from 1967, online, 29/8/15). Clearly more progress was achieved in the issue of health in the years after the referendum than those between colonisations and
0.8% of the overall Federal health expenditure in 2009 which was spent on Aboriginal health. The overall wellbeing of an individual is more than just being free from disease. It is about their social, emotional, spiritual, physiological as well as the physical prosperity. Indigenous health issues are all around us, but we don’t recognise because it doesn’t affect us, but this issue is a concern to Indigenous Australia and also to modern day Catholics in Australia The statistics relating to Indigenous health is inexcusable, life expectancy is at an all time low, higher hospilatisation for avoidable diseases, alerting rates of deaths from diabetes and kidney disease. This issue is bigger than we all think, for example 13% of Indigenous homes
Walter, M. (2007). Aboriginality, poverty and health-exploring the connections. Beyond bandaids: exploring the underlying social determinants of aboriginal health. [online] Retrieved from: http://www.lowitja.org.au/sites/default/files/docs/Beyond-Bandaids-CH5.pdf/ [Accessed 10 Apr 2014]
... To provide Indigenous people with adequate health care, emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with. Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health.
Advanced knowledge of Aboriginal Health policy and issues at the level and national level including understanding successful measures around Closing the Gap in Aboriginal Health inequality. My desire to work in the aboriginal field begins since I was very young. That is why at 16 years of my age I started to be even more interested in understanding all the issues related to the aborigines of this country. Over time, I looked that all my knowledge be trained at health level basis to help to improve the Aboriginal quality of life standards.
Poor living conditions are a major health determinant throughout the indigenous population. Most Indigenous Australians are known to live in rural parts of Australia which are commonly not close to major cities and services. People living in these areas generally have poorer health than others living in the cities and other parts of Australia. These individuals do not have as much access to health services and good quality housing. In 2006 roughly 14% of indigenous households in Australia were overcrowded unlike 5% of other households (AIHW, 2009a). Overcrowded and poor quality houses are commonly associated with poor physical and mental health between the people living in them. The indigenous are n...
According to Australian indigenous website, healthinfoNet, in 2010-2012 life expectancy of indigenous people were 69 years which is 11 years less than the 80 years expected for the non- indigenous men and women. Moreover, the life expectancy for native women was 73 years, during 2010-2012, which is 9.5 years less than the expectation of 83 years for non-Indigenous women. The reason for decreased health can be due to deficiencies in water supply, sanitation and lack of proper medical services.
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
In the contrary, governments have the responsibility of ensuring all the citizens access quality health care, more so in public health facilities (Duckett, 2008). Despite the various forms taken by health care systems in the world, they seem to have common goals. These goals include the good health of their populations, equity and equality in health care funding among others. To achieve these goals, the functions to be executed include the generation of more resources, delivery of health services, and good leadership/management. This paper explores the Australian health care system, particularly its challenges, strengths, weaknesses, and the proposed reforms.
In rural and remote areas of Australia, members of the multidisciplinary team have an exponential willingness to expand and adapt their practice to the rural and remote communities needs. Nurses in particular have had to deal with a wide and varying range of health problems in medically unserviced areas of rural Australia. Ideally, primary health care is the centre of the health system. Secondary and tertiary services back-up systems are developed and implemented to support primary levels of healthcare. In rural and remote area health services current indications are that of the opposite to those working and living in urban/metropolitan areas of Australia. (_________________________). Inappropriate staff and skill levels, sub-standard facilities, inadequate supplies, high turnovers of staff and difficulties with communications and transport are characteristics of rural and remote area health services (Kerr1991; Kreger, 1991; The Hospitals and Health Services Association of New South Wales, 1988). The Commonwealth Government Social Justice Strategy Statement (1990-91:4) states that “a vital requirement for all people is access to quality health services”. Recognition of this statement shows access to health services is not a reality of the entire population, for example, Aboriginal and rural remote residents (Rural Health strategy, 1991; B. Howe cited in Collins, 1991; National Aboriginal Health Strategy, 1988).
The Aboriginal and Torres Strait Islander peoples have been the first nations, which represented the whole Australian population, for centuries. However, the continuous European colonization has severely affected these peoples and, over the decades, their unique values and cultures, which enriched the life of Australian nation and communities, were not respected and discriminated by numerous restrictive policies. As a result, Aboriginal and Torres Strait Islander peoples have turned into the voiceless minority of the Australian population. Fortunately, in recent years, these issues became the concern of the Australian government, promoting a slight improvement in the well being of native Australians. Nowadays, there are numerous social work
...oing set of interventions is required which can only be provided by a skilled multi-disciplinary workforce, able to sustain effective long-term treating relationships and links with other providers. General practices are not able to meet these needs fully (Keys Young 1997, cited in Dwyer et al 2004), while Indigenous-specific agencies are designed to provide the basic health infrastructure required for effective service delivery. Secondly, for several reasons including historical and cultural ones, mainstream health services are not generally capable of meeting the needs of Indigenous Australians and this makes it hard for Indigenous people to use them. Many Indigenous Australians will go without primary health care (Keys Young 1997, cited in Dwyer et al, 2004) if a service that specifically welcomes them and responds appropriately to their needs is not available.
Primary health care is the indispensable care based on the real – world, systematically sound, socially adequate technique and technology which made unanimously available to the families and every individuals in the community through their fully involvement where the community is capable to afford at a cost to uphold at every phase of their growth in the essence of self-reliance and self-government. Primary health care in international health is associated with the global conference held at Alma Ata in 1978; the conference that promoted the initiative health for all by the year 2000. “Primary health care defined broadly at Alma Ata emphasized universal health care across to all individuals and families , encouraged participation by community members in all aspects of health care planning and implementation and promoted the delivery of care that would be scientifically sound , technically effective , socially relevant and acceptable” (Janice E.Hitchcock,2003). Primary health care is commonly viewed as a level of care or as the entry point to the health care system for its client. It can also taken to mean a particular approach to care which is concerned with containing care, accessibility, community involvement and collaboration between other sectors. The primary health care policy has some principals that have been designed to work together and be implemented simultaneously to bring about a better health outcome for the entire society.