Avoidable hospitalisation in Aboriginal and non‐Aboriginal people in the Northern Territory

Li, Shu Q; Gray, Natalie; Guthridge, Steve; Pircher, Sabine

doi:10.5694/j.1326-5377.2009.tb02551.x

Cited by 33 publications

(31 citation statements)

References 15 publications

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“…However, this is not universally accepted. Studies have shown both an inverse relationship between the supply of primary care physicians and avoidable hospitalisation rates, and a positive association between high use of emergency services and high use of primary care services (as reported by Li et al …”

Section: Discussionmentioning

confidence: 79%

Emergency department presentations by Aboriginal children: Issues for consideration for appropriate health services

Duncan

Williams

Nathanson

et al. 2013

J Paediatrics Child Health

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A significant proportion of ED presentations were potentially preventable with the use of culturally appropriate and accessible local community and primary health care services and better referral pathways back to these services. Community engagement is required to raise awareness of common presentations and to look at strategies to prevent common problems both occurring and presenting to the ED. This will enhance the health of urban Aboriginal children.

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Section: Discussionmentioning

confidence: 79%

Emergency department presentations by Aboriginal children: Issues for consideration for appropriate health services

Duncan

Williams

Nathanson

et al. 2013

J Paediatrics Child Health

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“…In contrast, both male and female Aboriginal Territorians experienced an overall increase in avoidable mortality from IHD between 1985 and 1994. The reasons for this are likely to be multifactorial and include a higher prevalence of smoking among the NT Aboriginal population as well as barriers to accessing primary and acute medical care 4,20–23 . Encouragingly, since 1995, and particularly since 1999, mortality from IHD in Aboriginal Territorians has started to decrease.…”

Section: Discussionmentioning

confidence: 99%

Avoidable mortality trends in Aboriginal and non‐Aboriginal populations in the Northern Territory, 1985‐2004

Li¹,

Gray²,

Guthridge³

et al. 2009

Australian and New Zealand Journal of Public Health

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Objectives: To analyse rates of avoidable mortality in Aboriginal and non‐Aboriginal residents of the Northern Territory (NT) from 1985 to 2004, in order to assess the contribution of health care to life expectancy improvements. Methods: Australian Bureau of Statistics (ABS) death registration data for NT residents were used to identify ‘avoidable’ deaths, with further separation into three categories of conditions amenable to either medical care or health policy, and a category for ischaemic heart disease (IHD). A Poisson regression model was used to calculate the average annual change in avoidable mortality by sex and Aboriginality in the NT compared with Australia as a whole. Results: In the 20 years between 1985 and 2004, avoidable mortality rates fell 18.9% in NT Aboriginal people, 61.1% in NT non‐Aboriginal people and 59.5% in Australians overall. NT Aboriginal people continued to experience higher avoidable mortality than other Australians and the disparity increased over time. Most of the decline in avoidable mortality for Aboriginal Territorians occurred for conditions amenable to medical care. Conclusion: Medical care has made a significant contribution to improvements in Aboriginal life expectancy in the NT, however, reductions in avoidable mortality from IHD and conditions amenable to health policy have been variable. Implications: The results highlight the need for ongoing investment in comprehensive programs incorporating appropriate health policy interventions and management of chronic diseases.

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“…Rates of PPH admissions, by Indigenous status, are reported by both state and federal governments [10]–[14] and are a key performance indicator specified in the National Healthcare Agreement (NHA), with the aim of reducing PPH admissions to 8.5% of total admissions by 2014–15 [15]. This routine reporting consistently shows that age-adjusted rates of PPH admission are much higher in Indigenous than non-Indigenous Australians, but the magnitude of the differential varies with jurisdiction, from about three-fold in New South Wales (NSW) [11] and Queensland [10] to four-fold in the Northern Territory [9]. Much higher rates of PPH admission are also reported among residents of rural and remote areas [14].…”

Section: Introductionmentioning

confidence: 99%

The Contribution of Geography to Disparities in Preventable Hospitalisations between Indigenous and Non-Indigenous Australians

Randall

Falster

et al. 2014

PLoS ONE

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ObjectivesTo quantify the independent roles of geography and Indigenous status in explaining disparities in Potentially Preventable Hospital (PPH) admissions between Indigenous and non-Indigenous Australians.Design, setting and participantsAnalysis of linked hospital admission data for New South Wales (NSW), Australia, for the period July 1 2003 to June 30 2008.Main outcome measuresAge-standardised admission rates, and rate ratios adjusted for age, sex and Statistical Local Area (SLA) of residence using multilevel models.ResultsPPH diagnoses accounted for 987,604 admissions in NSW over the study period, of which 3.7% were for Indigenous people. The age-standardised PPH admission rate was 76.5 and 27.3 per 1,000 for Indigenous and non-Indigenous people respectively. PPH admission rates in Indigenous people were 2.16 times higher than in non-Indigenous people of the same age group and sex who lived in the same SLA. The largest disparities in PPH admission rates were seen for diabetes complications, chronic obstructive pulmonary disease and rheumatic heart disease. Both rates of PPH admission in Indigenous people, and the disparity in rates between Indigenous than non-Indigenous people, varied significantly by SLA, with greater disparities seen in regional and remote areas than in major cities.ConclusionsHigher rates of PPH admission among Indigenous people are not simply a function of their greater likelihood of living in rural and remote areas. The very considerable geographic variation in the disparity in rates of PPH admission between Indigenous and non-Indigenous people indicates that there is potential to reduce unwarranted variation by characterising outlying areas which contribute the most to this disparity.

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Avoidable hospitalisation in Aboriginal and non‐Aboriginal people in the Northern Territory

Cited by 33 publications

References 15 publications

Emergency department presentations by Aboriginal children: Issues for consideration for appropriate health services

Emergency department presentations by Aboriginal children: Issues for consideration for appropriate health services

Avoidable mortality trends in Aboriginal and non‐Aboriginal populations in the Northern Territory, 1985‐2004

The Contribution of Geography to Disparities in Preventable Hospitalisations between Indigenous and Non-Indigenous Australians

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