National health workforce in discrete Indigenous communities

Carson, Bronwyn E.; Bailie, Ross

doi:10.1111/j.1467-842x.2004.tb00702.x

Cited by 10 publications

(3 citation statements)

References 11 publications

(9 reference statements)

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“…These findings are similar to other studies, which found that MBS spending on mental health was lowest for rural and remote and socioeconomically disadvantaged populations. 46 The lack of mental health service coverage is of concern due to the decisions made by the Queensland state government to close more than 130 rural birthing units over a 10 year period 26 forcing First-Nations and rural and remote mothers to relocate to give birth 'out of area' or 'off Country', whereby they may be isolated from their families, communities and support networks, further exacerbating the underlying mental health condition. Once mothers return home after giving birth, receiving mental health support may be difficult due to the lack of specialised mental health and support services in these regions.…”

Section: Discussionmentioning

confidence: 99%

Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia

Fox

Topp

Lindsay

et al. 2021

Health Planning & Management

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Background: Disparities in health service use exist in many sectors of Australia's health system, particularly affecting the most vulnerable people in the population, who are typically those with the greatest healthcare needs. Understanding patterns of health service coverage is critical for acknowledging the underlying, systemic drivers including racialised practices that inhibit the uptake of health services for certain population groups. This study aims to determine whether there are disparities in health service utilisation between socioeconomic, geographic and ethnic groups of mothers who experience hypertension, diabetes and mental health conditions.Methods: This study utilised a linked administrative healthcare dataset containing data of all mothers who gave birth in Queensland, Australia, between 2012 and 2015 (n = 186,789), plus their resultant babies (n = 189,909). The study compared health service utilisation for mothers with maternal health conditions between population groups. Results:The results of this study showed a broad trend of inequitable health service utilisation, with mothers who experienced the greatest healthcare needs-First Nations, rural and remote and socio-economically disadvantaged mothers-being less likely to access health services and in some cases when care was accessed, fewer services being utilised during the perinatal period.

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Section: Discussionmentioning

confidence: 99%

Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia

Fox

Topp

Lindsay

et al. 2021

Health Planning & Management

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“…As 30Á50% of Indigenous people have no access to allied health or mental healthcare workers, 13 there is a need to build a skilled workforce, with quality degree training for Indigenous primary healthcare field workers, and courses for non-Indigenous primary healthcare staff addressing cultural issues. 14 It is this workforce that can become skilled in offering scientifically validated prevention and early intervention programs addressing both health and mental health issues.…”

Section: Discussionmentioning

confidence: 99%

Family Intervention in Indigenous Communities: Emergent Issues in Conducting Outcome Research

Turner

Sanders

2007

Australas Psychiatry

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Parenting programs need to be sensitive to the political and cultural context in which parenting takes place, flexibly incorporate cultural practices and expectations, and develop an evidence base of outcomes for families in diverse communities. As research is needed to evaluate the acceptability and effectiveness of these programs, culturally sensitive research practices are also necessary and the value of program evaluation and its benefit to the community must be clear. Community acceptance of the research process and the intervention itself is vital and may be influenced by community perceptions, current priorities, and local issues. If our overall aim is to increase the skilled health and mental health workforce in Indigenous communities and their use of evidence-based interventions, ongoing collaborative relationships between research institutions and service providers will serve to further this aim.

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“…Chronic disease and mortality rates are higher and access to health services are poorer [4]. One of the key factors that influences access to health services in rural and remote Australia is the ability to recruit and retain skilled and qualified clinicians [5][6][7][8]. There is a maldistribution and shortage of the health workforce, with a lack of health professionals outside major centers being one of the reasons often cited for lower health outcomes of remote and rural Australians.…”

Section: Introduction Backgroundmentioning

confidence: 99%

Health Professional Student Placements and Workforce Location Outcomes: Protocol of an Observational Cohort Study (Preprint)

Campbell¹,

Farthing²,

Witt³

et al. 2020

Preprint

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BACKGROUND

The successful recruitment and retention of health professionals to rural and remote areas of Australia is a health policy priority. Student undergraduate or graduate entry nursing or allied health learning placements in the Northern Territory of Australia (most of which is considered remote) may influence rural or remote work location decisions.

OBJECTIVE

The aim of the study is to determine where allied health professionals and nurses who have had a student placement/s in the Northern Territory of Australia end up practising.

METHODS

This research is an observational cohort study with a baseline data collection and then repeated annual data collection over 10 years (2017/18-2029). The baseline data collection is a demographic profile of allied health and nursing students and their evaluation of their NT placement using a nationally consistent questionnaire. Annual Work Location Surveys will track work location and the influences on work location decisions.

RESULTS

The study will have the unique ability to report on the impact of remote health training placements.

CONCLUSIONS

This study will generate important data on the remote and rural work locations of nursing and allied health professional students who had a placement in the Northern Territory of Australia. It will be able to determine what are the most important characteristics of those who take up remote and rural employment (even if outside NT), and identify barriers to remote employment.

CLINICALTRIAL

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National health workforce in discrete Indigenous communities

Abstract: Objective: To identify areas of relative need and inform future planning of health workforce and health services in discrete Indigenous communities.

Cited by 10 publications

References 11 publications

Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia

Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia

Family Intervention in Indigenous Communities: Emergent Issues in Conducting Outcome Research

Health Professional Student Placements and Workforce Location Outcomes: Protocol of an Observational Cohort Study (Preprint)

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