ihateusednames t1_ix78hme wrote on November 21, 2022 at 7:24 AM

Reply to comment by candlesandfish in Indigenous people are less likely to survive the year after an ICU admission. 12 months after being admitted to intensive care, an Indigenous person is more likely to have died than a non-Indigenous person, according to Australian research. by MistWeaver80

Great bit about the distance, so lack of infrastructure as well. I wasn't satisfied with what I had suggested so I do appreciate your thoughts into this.

Found a pretty good journal article about it pretty easily they seem to think it's about distance as well https://link.springer.com/article/10.1186/1471-2458-12-281

Aboriginal and non-aboriginal people had similar 365-day rates going to the same long-distance hospitals. Conclusion: They need better hospitals.

sonyka t1_ix7m3gj wrote on November 21, 2022 at 10:48 AM

Exactly, all signs to point to indigenous communities needing more local healthcare providers/facilities than they've got. Not an expert but I'm gonna go out on a limb and guess their HCPs-per-mile rate is a lot lower than in non-indigenous areas. Per the link they're coming sicker and younger than non-indigenous patients. Apparently follow up care compliance isn't great. Add in a cultural reluctance to travel… it almost explains itself. If they don't have clinics within their radius they don't go.

What to do? Maybe a program to incentivize HCPs to set up shop in or near rural areas (the US does this; it helps… some). Even better, one to assist/encourage more indigenous community members to become HCPs.

ihateusednames t1_ix7n4io wrote on November 21, 2022 at 11:03 AM

Encouraging growth of HCPs in indigenous communities is an interesting idea, might take some time to pull off because they are far from other forms of infrastructure there is also the issue of medical education.

I completely understand why follow-up care compliance is low, I'd have a difficult time arranging that much travel / time spent doing this and I have a flexible schedule + a working car / efficient highway system.

First step is convincing people that this is an "everyone" problem.

[deleted] t1_ix8znun wrote on November 21, 2022 at 5:48 PM

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IAMCRUNT t1_ixa19ar wrote on November 21, 2022 at 9:57 PM

The reason that state governments pour money into development in capital cities and deny applications for commercial developments in country towns is because there is more instant profit to be made for their mates. This not only leaves people outside capital cities with less opportunities, low population growth and attracts less medical professionals, it also makes city living unaffordable for healthcare workers. It is lose lose for all the people they are supposed to represent except for the money..