Medical Specialist Access Framework – a guide to equitable access to Specialist Care for Aboriginal and Torres Strait Islander people
The Framework was developed by the RACP Aboriginal and Torres Strait Islander Health Committee. It aims to increase access by Aboriginal and Torres Strait Islander People across Australia to medical specialists. The Framework consist of principles, enablers of specialist access, tools and resources, as well as case studies showcasing successful models that are enabling greater access by Aboriginal and Torres Strait Islander people to medical specialists. The RACP welcomes the opportunity to discuss this further with interested stakeholders.
The Framework and associated documents can be found online at: https://www.racp.edu.au/msaf
Additional rural and urban case studies at : https://www.racp.edu.au/advocacy/policy-and-advocacy-priorities/medical-specialist-access-framework/medical-specialist-access-framework-case-studies
Defining the Indefinable: Descriptors of Aboriginal and Torres Strait Islander Peoples’ Cultures and their Links to Health and Wellbeing
We examined the Australian literature as well as publications from countries that have experienced similar colonisation events; primarily Aotearoa (New Zealand), Canada and the United States. Our main findings from this synthesis determined 6 main domains used to describe culture for Aboriginal and Torres Strait Islander peoples. These domains were: Connection to Country; Cultural Beliefs and Knowledge; Language; Family, Kinship and Community; Expression and Cultural Continuity; and Self-determination and Leadership.
This report explores the association between 8 selected chronic conditions and disability in Australia: coronary heart disease, stroke, diabetes, arthritis and related disorders, back pain and problems, osteoporosis, asthma and emphysema. These conditions are generally long term and persistent, and can lead to gradual deterioration of health, and disability. This report examines disability prevalence and severity; and the types of impairments, limitations and restrictions experienced by those with the selected conditions.
The Australian Psychological Society and Swinburne University have produced the Australian Loneliness Report, based on a national survey of adults. This examines the prevalence of loneliness and how it affects the physical and mental health of Australians. It is the most comprehensive study of loneliness completed in Australia.
• One in four Australian adults are lonely.
• One in two (50.5%) Australians feel lonely for at least one day in a week, while one in four (27.6%) feel lonely for three or more days.#8226; One in four Australians experience high levels of social interaction anxiety
• Lonely Australians have significantly worse health status (both physical and mental) than connected Australians.
• Lonely Australians are 15.2% more likely to be depressed and 13.1% more likely to be anxious about social interactions than those not lonely.
• Australians over 65 years are least lonely; other age groups experience similar levels of loneliness.
• Australians over 65 years also report better physical and mental health, lower levels of social interaction anxiety, fewer depression symptoms and greater social interaction than younger Australians.
• Younger adults report significantly more social interaction anxiety than older Australians.
They are high level, measureable indicators that identify the immediate environments as particularly important to children’s health, development and wellbeing. The CHI are presented from 2006 to 2016 and are grouped into 3 broad topic areas—Health, Early learning and care and Family and community.
The impacts of the drought go far beyond just stock, feed and dry paddocks and Lifeline chief executive officer Stephanie Robinson says a holistic toolkit is needed to help people cope.Currently, all of NSW has been declared in drought and with no significant rain in sight many farmers are doing it tough on the land and in the surrounding communities.
The consumption of alcohol, tobacco and other drugs is a major cause of preventable disease and illness in Australia. This report consolidates the most recently available information on alcohol, tobacco and other drug use in Australia, including key trends in the availability, consumption, harms and treatment for vulnerable populations.
Further information on a range of health, social and economic impacts of alcohol, tobacco and other drug use are also highlighted. It also includes some interactive data tables on tobacco, alcohol, illicit drugs and treatment services.
Aboriginal and Torres Strait Islander adolescent and youth health and wellbeing 2018—in brief [AIHW]
It brings together data for Indigenous people aged 10–24 on health and wellbeing outcomes, social and economic determinants of health, health risk factors, and health service use. Young Indigenous Australians report being in good health, but challenges remain.
Hip fracture incidence and hospitalisations in Australia 2015–16
The Palliative Care and End-of-Life portal is designed to assist health professionals who provide care for Aboriginal and Torres Strait Islander people, their families and communities.
Director of the Health InfoNet, Professor Neil Drew, said the portal will support both clinicians and policy-makers to access research and projects on palliative and end-of-life care for Aboriginal and Torres Strait Islander people.
"This collaboration between the HealthInfoNet and Palliative Care Australia will locate Aboriginal and Torres Strait Islander palliative and end-of-life care resources and make them available all together in the one place for health professionals.
"This will make the relevant information available to the workforce through a state of the art online portal to support decision-making and best-practice care.
"A yarning place will be established in early 2019 to facilitate information sharing and support among clinicians," said Professor Drew.
Dedicated sections of the site deal with Grief & Bereavement, Planning Ahead and Culturally Appropriate End -of-life Care. The site is underpinned by a large selection of publications, resources, policy information, organisation and program details.
- 42% of Aboriginal and Torres Strait Islander young people planned to go to university compared to 72% non-Indigenous young people.
- Over 50% of Aboriginal and Torres Strait Islander young people indicated that getting a job was highly important to them and they were more likely to be looking for employment compared to non-Indigenous young people.
- 27% Aboriginal and Torres Strait Islander young people reported that they had spent time away from home because they felt they couldn't go back.
- Aboriginal and Torres Strait Islander young people were more likely than non-Indigenous young people to be extremely/very concerned about drugs, bullying/emotional abuse, personal safety, discrimination and alcohol.
- The majority of young people indicated feeling positive overall about their lives, however, just under 1 in 10 Aboriginal and Torres Strait Islander young people indicated their happiness with life as a whole was a '0' out of 10 (compared to 1 in 50 non-Indigenous young people).
- The vast majority of Aboriginal and Torres Strait Islander young people (75%) rated family relationships as extremely or very important to them. Almost twice the proportion of Aboriginal and Torres Strait Islander young people rated their family's ability to get along as poor (13% compared with 7% of non-Indigenous young people).
Key policy recommendations:
- Aboriginal and Torres Strait Islander young people should be at the centre of policy and practice with solutions designed, developed and led by the young people and their representative community organisations. In order that Aboriginal and Torres Strait Islander young people are supported to thrive and reach their full potential there needs to be a focus on:
- Supporting educational engagement and addressing challenges to further study in culturally appropriate ways.
- Providing employment and training programs that are Indigenous-led, flexible and responsive.
- Identifying the deeper, structural causes of mental health difficulties and building on a strong sense of social, cultural and emotional wellbeing.
- Reducing the high rates of homelessness for Aboriginal and Torres Strait Islander young people as a national priority.
- Designing services that take into consideration the cultural connections of Aboriginal and Torres Strait Islander young people and communities.
- Taking a holistic approach to service design that works across the domains of education, employment, health, housing and social inclusion and combats intergenerational disadvantage
In this monograph you will learn about current methods in use, and how they are making a difference to healthcare practice. These include some lesser-known biographical and photographic methods. You will also learn about the way in which research results are being implemented to improve patient safety and the quality of care.