Author:
Kelaher Margaret,Dunt David,Thomas David,Anderson Ian
Abstract
Abstract
Background
Health Assessment (HA) items were introduced in 1999 for Aboriginal and Torres Strait Islander people aged at least 55 years and all Australians aged over 75 years. In 2004 a new item was introduced for HAs among adult Aboriginal and Torres Strait Islander people aged 15–54 years. The new item has been applauded as a major policy innovation however this enthusiasm has been tempered with concern about potential barriers to its uptake. In this study we aim to determine whether there are disparities in uptake of HA items for Aboriginal and Torres Strait Islander people compared to other Australians.
Method
The analysis was based on Health Insurance Commission data. Indigenous status was ascertained based on the item number used. Logistic regression was used to compare uptake of HA items for older people among Aboriginal and Torres Strait Islander people compared to other Australians. Adjustments were made for dual eligibility. Uptake of the HA items for older people was compared to the uptake of the new item for Aboriginal and Torres Strait Islander people aged 15–44 years.
Results
Our analyses suggest a significant and persistent disparity in the uptake of items for older patients among Aboriginal and Torres Strait Islander people compared to other Australians. A similar disparity appears to exist in the uptake of the new adult Aboriginal and Torres Strait Islander HA item.
Conclusion
Further engagement of primary care providers and the community around the uptake of the new HA items may be required to ensure that the anticipated health benefits eventuate.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference16 articles.
1. Australian Department of Health and Ageing: Medicare Benefits Schedule Book Operating from 1 November 2004. 2004, Canberra: Commonwealth of Australia
2. Wilkinson D, Mott K, Price K, Morey S, Beilby J, Best J, McElroy H, Pluck S, Eley V: Evaluation of the Enhanced Primary Care Medical Benefits Schedule Items and the General Practice Education, Support and Community Linkages Program. Final Report. 2004, Canberra: Australian Department of Health and Ageing
3. Wilkinson D, McElroy H, Beilby J, Mott K, Price K, Morey S, Best J: Variation in levels of uptake of enhanced primary care item numbers between rural and urban settings, November 1999 to October 2001. Aust Health Rev. 2002, 25 (6): 123-30.
4. Byles JE: A thorough going over: Evidence for health assessments for older persons. Aust N Z J Public Health. 2000, 24 (2): 117-123.
5. Byles JE, Tavener M, O'Connell RL, Nair BR, Higginbotham NH, Jackson CL, Mckernon ME, Francis L, Heller RF, Newbury JW, Marley JE, Goodger BG: Randomised control trial of health assessments for older Australian veterans and war widows. Med J Aust. 2004, 181 (4): 186-190.
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