Lung health care for Aboriginal and Torres Strait Islander Queenslanders : breathing easy is not so easy

O'Grady, Kerry-Ann, Revell, Amber, Maguire, Graeme P., Millonig, Renate, Newman, Michael A., Reid, David W., Hill, Deborah C., & Chang, Anne B. (2011) Lung health care for Aboriginal and Torres Strait Islander Queenslanders : breathing easy is not so easy. Australian Health Review, 35(4), pp. 512-519.

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Abstract

Objectives

In Aboriginal and Torres Strait Islander peoples in Queensland, to (a) determine the disease burden of common chronic lung diseases and (b) identify areas of need with respect to lung health services.

Methods

Literature reviews and analyses of hospitalisation and mortality data were used to describe disease epidemiology and available programs and services. Key stakeholder interviews and an online survey of health professionals were used to evaluate lung health services across the state and to identify services, needs and gaps.

Results

Morbidity and mortality from respiratory diseases in the Indigenous population is substantially higher than the non-Indigenous population across all age groups and regions. There are inadequate clinical services and resources to address disease prevention, detection, intervention and management in an evidence-based and culturally acceptable fashion. There is a lack of culturally appropriate educational resources and management programs, insufficient access to appropriately engaged Indigenous health professionals, a lack of multi-disciplinary specialist outreach teams, fragmented information systems and inadequate coordination of care.

Conclusions

Major initiatives are required at all levels of the healthcare system to adequately address service provision for Indigenous Queenslanders with lung diseases, including high quality research to investigate the causes for poor lung health, which are likely to be multifactorial.

Impact and interest:

4 citations in Scopus
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4 citations in Web of Science®

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ID Code: 64710
Item Type: Journal Article
Refereed: Yes
Additional Information: 852EC
Times Cited:1
Cited References Count:31
http://WOS:000297330900020
Keywords: health policy, indigenous, needs assessment, asthma, australia, communities, prevalence, diagnosis, symptoms, children, cancer
DOI: 10.1071/AH10973
ISSN: 0156-5788
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Funding:
Deposited On: 25 Nov 2013 05:13
Last Modified: 29 Jan 2015 00:21

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