scholarly journals Strategic approaches to enhanced health service delivery for Aboriginal and Torres Strait Islander people with chronic illness: a qualitative study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Clive Aspin ◽  
Ngiare Brown ◽  
Tanisha Jowsey ◽  
Laurann Yen ◽  
Stephen Leeder
Keyword(s):  
Chronic Illness ◽  
Health Service ◽  
Qualitative Study ◽  
Service Delivery ◽  
Torres Strait Islander ◽  
Health Service Delivery ◽  
Torres Strait Islander People ◽  
Torres Strait

scholarly journals Disparity in Physical and Mental Multimorbidity Between Aboriginal and Torres Strait Islander people and non-Indigenous Australians: implications for Equity in Health Service use and Work Productivity

2020 ◽  
Author(s):  
William Carman ◽  
Marie Ishida ◽  
Justin S Trounson ◽  
Kanya Anindya ◽  
Grace Sum ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Torres Strait Islander ◽  
Service Use ◽  
Work Productivity ◽  
Health Service Use ◽  
Indigenous Australians ◽  
Torres Strait Islander People ◽  
Torres Strait ◽  
Care Costs

Abstract Background: Multimorbidity, the presence of ≥2 chronic conditions, is a major contributor to health inequalities, with significant impact on health care costs. This study aims to examine the differences in chronic physical and mental health multimorbidity between Aboriginal and Torres Strait Islander people and non-Indigenous Australians, and the effect of multimorbidity on health service use and work productivity amongst Aboriginal and non-Indigenous Australians.Methods: This study conducted cross-sectional analyses of the Household, Income, and Labour Dynamics in Australia Wave 17, examining a nationally representative sample of 16,749 respondents aged 18 years and above. We applied multivariable linear and logistic regressions to examine the association between multimorbidity and self-reported health, health service use, and employment productivity.Results: Aboriginal respondents reported a higher prevalence of multimorbidity (24.2%) compared to non-Indigenous Australians (20.7%), and the prevalence of co-existing mental and physical multimorbidity was almost twice as high (16.1% vs 8.1%). Multimorbidity was associated with higher health service use (any overnight admission: AOR 1.52), reduced employment productivity (days sick leave: coef. 0.25), and lower perceived health status (SF6D score: coef. -0.04). These associations are similar in both Aboriginal and non-Indigenous populations.Conclusions: Multimorbidity prevalence was greater among Aboriginal and Torres Strait Islanders compared to the non-Indigenous population, likely driven by the greater prevalence of mental health conditions reported by the Aboriginal sample. Strategies for better management of mental and physical multimorbidity would not only reduce health care costs among those affected but may contribute to a reduction in health inequalities in Australia.

scholarly journals A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Masoud Mirzaei ◽  
Clive Aspin ◽  
Beverley Essue ◽  
Yun-Hee Jeon ◽  
Paul Dugdale ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Health Service ◽  
Service Delivery ◽  
Health Outcomes ◽  
Health Service Delivery
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