Health assessments for Indigenous Australians at Orange Aboriginal Medical Service: health problems identified and subsequent follow up

Dutton, Tegan; Stevens, Wendy; Newman, Jamie

doi:10.1071/py14120

Cited by 8 publications

(12 citation statements)

References 4 publications

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“…Receipt of Health Assessment for Aboriginal and Torres Strait Islander People (MBS item 715) by CVD and CVD risk factors, general health status and GP use: proportions, odds ratios and 95% confidence intervals Aboriginal and Torres Strait Islander health checks follow-up care (e.g. review of abnormal results, ongoing management and referral) 24,30 will be essential for preventing further CVD events. The Australian Government introduced a Medicare item specifically targeting absolute CVD risk assessment (MBS item 699 and 77) for use across the general population in April 2019.…”

Section: Discussionmentioning

confidence: 99%

Aboriginal and Torres Strait Islander health checks: sociodemographic characteristics and cardiovascular risk factors

Butler¹,

Agostino²,

Paige³

et al. 2022

Public Health Res Pract

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Aboriginal and Torres Strait Islander people in the study population received a Medicare-funded health check • Those with cardiovascular disease (CVD) risk factors and prior CVD were more likely to have received a health check, while those with better self-rated health and infrequent users of general practice services were less likely to have done so • Increasing participation in health checks may improve identification and management of Aboriginal and Torres Strait Islander people at high risk of primary and secondary CVD events

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Section: Discussionmentioning

confidence: 99%

Aboriginal and Torres Strait Islander health checks: sociodemographic characteristics and cardiovascular risk factors

Butler¹,

Agostino²,

Paige³

et al. 2022

Public Health Res Pract

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“…Biddle recommends taking the most efficient approach possible to data collection and analysis in order to minimise participant burden. 180 In summary, research data published in the last five years and indexed on PubMed, 107 Aboriginal health liaison 8,041 b No O'Connor et al 115 Chlamydia 7,103 b Yes Dutton et al 170 Health 128 Albuminuria 860 No Lopez et al 114 Ischaemic heart disease 833 b Yes Hopkins et al 105 Psychological resilience 677 No Arjunan et al 106 Tobacco use 663 No Jamieson et al 164 Oral 113 Stressful events in children 344 b No Lalla et al 103 Oral mucosal disease 342 No Radford et al 104 Dementia 336 No Whish-Wilson et al 99 Birth outcomes 301 Yes Roberts-Thomson et al 117 Oral health 251 No Dorrington et al 174 Pap smears 213 No Gardener et al 102 Children 205 No Wong et al 126 Midwifery 177 Infant health 175 Yes Luke et al 181 Suicidal 169 Breast feeding 159 Yes Webster et al (Gudaga study) 166 Child growth 157 No Scott et al 110 Sexual health 155 No Miller et al (Gudaga study) 118 Child language assessment 150 No Arrow 100 Oral …”

Section: Sparse Research In Urban Populationsmentioning

confidence: 99%

“…207,209 However, one research paper, published in 2015, conducted in a regional Aboriginal community controlled health service found that many of the problems identified by clinicians conducting Aboriginal and Torres Strait Islander HAs in primary care were either fully (26%) or partially (49%) resolved six months later. 170 The authors considered health problems to be resolved when referrals, immunisations, review of growth, and follow up investigations were attended to. 170 This study provides evidence to suggest that HAs can help identify and facilitate the appropriate management and follow up of various health concerns.…”

Section: Aboriginal and Torres Strait Islander Health Assessments In mentioning

confidence: 99%

“…170 The authors considered health problems to be resolved when referrals, immunisations, review of growth, and follow up investigations were attended to. 170 This study provides evidence to suggest that HAs can help identify and facilitate the appropriate management and follow up of various health concerns. 170 Few studies have been carried out regarding the clinical benefits of HAs conducted in general practice for Aboriginal and Torres Strait Islander peoples living in urban areas.…”

Section: Aboriginal and Torres Strait Islander Health Assessments In mentioning

confidence: 99%

“…However, the IIHS computerised HA Aboriginal and Torres Strait Islander peoples living in urban areas recruited more than 945 patients. Three of these four studies also used routinely collected clinical data, 107,115,170 and the fourth study 119 was based on national health survey data.…”

Section: Sampling and Computerised Health Assessmentsmentioning

confidence: 99%

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Computerised Aboriginal and Torres Strait Islander health assessments in primary health care research

Spurling¹

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There has been insufficient research involving Aboriginal and Torres Strait Islander peoples living in urban areas to inform strategies required to improve inequitable health outcomes and life expectancy for Aboriginal and Torres Strait Islander peoples. The injustice of these health inequities motivated me to investigate the use of computerised Aboriginal and Torres Strait Islander health assessments in primary care as a source of research data which can be used to respond to community priorities. I conducted this research at the Inala Indigenous Health Service, a Queensland Government funded primary health care service for Aboriginal and Torres Strait Islander peoples. Inala is a suburb in south-western Brisbane with a strong sense of community and identity, but also significant social and economic challenges. Staff at the Inala Indigenous Health Service have been using Aboriginal and Torres Strait Islander health assessments for both clinical and research purposes since their introduction in 2004 for adults, and 2006 for children.In this thesis, I used a mixed methods approach. The first two research projects of this thesis are situated in the postpositivist paradigm where researchers accept that scientific research produces evidence which helps establish the probability that a finding is true rather than truth itself. The first research project evaluated the feasibility of implementing computerised health assessments in primary care for dual clinical and research purposes.After finding that it was feasible, the second research project established that computerised health assessment data were sufficiently representative, complete, reliable, and valid to produce credible research findings.The final two research projects of this thesis are situated in the transformative paradigm with the explicit goal of improving the social world. I acknowledge that my position as a white, non-Indigenous, male, medical researcher influenced the conduct and outcome of all the research projects in this inquiry. To minimise the risk that this research would reproduce the damaging effects of research for Aboriginal and Torres Strait Islander peoples conducted by non-Indigenous researchers, I listened to community voices to inform my approach to research using computerised health assessment information.I conducted a qualitative study involving thematic analysis of semi-structured interviews with key informants in the Inala Aboriginal and Torres Strait Islander community regarding their priorities for health and research based on health assessment data. Rather than a discrete set of health priorities, key informants articulated an authoritative understanding of how interrelated, inter-generational, social, cultural, and environmental determinants of iii health operated in a "cycle" to influence the community's health. Furthermore, some key informants were ambivalent about Aboriginal and Torres Strait Islander health assessments because of their biomedical emphasis. These findings supported the addition of questions to health...

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Experienced general practitioners’ and practice nurses’ views on the older-person health assessment forms

Mitchell

D’Amore

2021

Aust. Health Rev.

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ObjectiveHealth assessments (HAs) are available annually for community-dwelling older people: the 75+HA for non-Indigenous Australians aged ≥75 years and the 55+IHA for Indigenous Australians aged ≥55 years. Medicare requires general practitioners (GPs) to cover the items within the relevant HA form. This study explored the views of experienced GPs and practice nurses (PNs) towards the older-person HA forms. MethodsThirty-nine experienced GPs and PNs responded to an online questionnaire. ResultsIn this study, experienced GPs and PNs suggested that current items within the 75+HA Medicare-provided guideline form need reviewing, such as those relating to psychological function, medication and exercise and falls. There were also recommendations to consider including items consistently across both the 55+IHA and 75+HA and to include new items, such as personal alarms, loneliness, support networks, spiritual health, musculoskeletal diseases, whether other screening is up to date and future planning. Many parts of the HA were deemed irrelevant or condescending to ‘well’ older Australians, so should be optional. Healthcare professionals also requested reintroducing conducting the HA at the community-dwelling patient’s home. User-friendly integrated forms would improve healthcare professionals’ time management and provide better communication with patients and carers, and create greater opportunities for multidisciplinary referral processes, as well as provide linkages to MyAgedCare and myHealthRecord. ConclusionCapturing the views of healthcare professionals towards older-person HA forms generated suggested improvements. The adoption of these suggestions would elicit more holistic health information for older Australians. What is known about the topic?Annual HAs are available for older Australians (75+HAs and 55+IHAs). Medicare requires GPs cover items within their prescribed HA form. The 75+HAs and 55+IHAs allow for the monitoring of health problems specific to community-dwelling older people, which may be difficult to address in the time frames of a standard GP consultation; however, there is very little research on the experiences of health professionals regarding the conditions required to be assessed within the HAs. What does this paper add?This study examined the views of experienced GPs and PNs to identify potential changes to the current procedures. Capturing the views of healthcare professionals towards older-person HA forms generated important suggested improvements, such as reviewing psychological function, medication, exercise and falls items. There were recommendations to include items across both the 55+IHA and 75+HA and new items, such as personal alarms, loneliness, support networks, spiritual health, musculoskeletal diseases assessments, future planning and whether the patient’s screening is up to date. What are the implications for practitioners?The experienced GPs and PNs in this study suggested significant additions and revisions to the current HA forms. The incorporation of these suggestions should lead to permanent modifications of the current forms to make them more relevant and appropriate for older Australians, but the challenge for implementation is how these additional items would be funded.

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Health assessments for Indigenous Australians at Orange Aboriginal Medical Service: health problems identified and subsequent follow up

Cited by 8 publications

References 4 publications

Aboriginal and Torres Strait Islander health checks: sociodemographic characteristics and cardiovascular risk factors

Aboriginal and Torres Strait Islander health checks: sociodemographic characteristics and cardiovascular risk factors

Computerised Aboriginal and Torres Strait Islander health assessments in primary health care research

Experienced general practitioners’ and practice nurses’ views on the older-person health assessment forms

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