First people's health Flashcards
What is the first people’s concept of health?
Health is not just physical wellbeing of individual but the social, emotional and cultural wellbeing of the whole community
What are some social determinants of health?
Work?
feel safe in their community?
has good education
enough money?
connected with friends and family
Why is healthcare less accessible for indigenous people’s?
Living in remote locations = not all healthcare services offered
Health services not culturally appropriate = do not consider their cultures and specific needs
Cant use some services because too expensive
What factors make healthcare more accessible for Aboriginal and Torres Strait Islander people?
Having Aboriginal and Torres Strait Islander health workers on staff
Inc number of Aboriginal and Torres Strait Islander people working in health sector
Culturally competent non-indigenous staff
Making important health services available in rural and remote locations
Funding health services to make them affordable
What is NACCHO? What do they do?
National Aboriginal Community Controlled Health Organisation
Community based program pre. 150 Aboriginal Community controlled health services
Aims to deliver holistic, comprehensive, culturally appropriate health care to community
In urban, regional, and remote locations
Generally, what strategies were implemented to improve Indigenous medicine access?
Remote Area Aboriginal health services program (provisions under the national health act 1953)
Services Australia = Close the Gap (CTG) co-payment measure
Aboriginal and Torres Strait Islander Specific Programs (IHSPS)
PBS listings (ATSI schedule)
What does the Remote Area Aboriginal Health Services Program do?
Enables bulk supply of PBS items to Aboriginal Health Services.
W/out PBS script needing to be written
No patient co-payment req (free to patient)
Pharmacy paid wholesale price plus handling fee in bulk
No mark-up and dispensing fee
What does the Aboriginal Health Services not include?
- NOT those subjected to special supply arrangements (repat)
- NOT doctor’s bag
- NOT RPBS medicines
- NOT schedule 8
- NOT extemporaneous items
What does the CTG co-payment do? Who is eligible?
Allow for lower or nil patient co-payments for PBS medicines
Aboriginal and Torres Strait Islander people of any age who present with existing chronic disease or are at risk of developing
Public hospital scripts are excluded from this
Who can write a CTG prescription?
Approved PBS prescriber
A registered ATSI Health practitioner
What is assessed to determine patient eligibility for CTG?
Whether patient would:
- Experience setbacks in the prevention or ongoing management of chronic disease if the person did not take the prescribed meds
- Would be likely to adhere to medicines regimen without assistance through the measure
Who can dispense CTG prescriptions and what are the requirements?
Who can dispense = all community pharmacists, approved hospital pharmacists, public hospital pharmacists can’t dispense CTG scripts
Things to check = check patient is registered, charge the correct price, add patient’s PBS safety net record
How much do CTG patients pay for medicines?
Unless they are general (pay $7.30), they will all pay nothing
Still responsible for pay brand price/therapeutics goods premiums
What is the indigenous Health Services Pharmacy support Program?
Support services provided by indigenous health services & service providers to the improvement of QUM and health outcomes
What categories do the indigenous Health Services Pharmacy support Program support?
QUM Pharmacist support
QUM Devices
Home education
Patient transport support
