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Comparative Study
. 2012 Sep 24:12:51.
doi: 10.1186/1471-2415-12-51.

Access to eye health services among indigenous Australians: an area level analysis

Margaret Kelaher  1 , Angeline Ferdinand, Hugh Taylor
Affiliations
Comparative Study

Access to eye health services among indigenous Australians: an area level analysis

Margaret Kelaher et al. BMC Ophthalmol. .

Abstract

Background: This project is a community-level study of equity of access to eye health services for Indigenous Australians.

Methods: The project used data on eye health services from multiple sources including Medicare Australia, inpatient and outpatient data and the National Indigenous Eye Health Survey.The analysis focused on the extent to which access to eye health services varied at an area level according to the proportion of the population that was Indigenous (very low = 0-1.0%, low = 1.1-3.0%, low medium = 3.1-6.0%, high medium = 6.1-10.0%, high = 10.1-20.0%, very high = 20 + %). The analysis of health service utilisation also took into account age, remoteness and the Socioeconomic Indices for Areas (SEIFA).

Results: The rate of eye exams provided in areas with very high Indigenous populations was two-thirds of the rate of eye exams for areas with very low indigenous populations. The cataract surgery rates in areas with high medium to very high Indigenous populations were less than half that reference areas. In over a third of communities with very high Indigenous populations the cataract surgery rate fell below the World Health Organization (WHO) guidelines compared to a cataract surgery rate of 3% in areas with very low Indigenous populations.

Conclusions: There remain serious disparities in access to eye health service in areas with high Indigenous populations. Addressing disparities requires a co-ordinated approach to improving Indigenous people's access to eye health services. More extensive take-up of existing Medicare provisions is an important step in this process. Along with improving access to health services, community education concerning the importance of eye health and the effectiveness of treatment might reduce reluctance to seek help.

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Figures

Figure 1
Figure 1
The frequency of ophthalmologist offices by SLA per 100,000 residents in 2008.
Figure 2
Figure 2
The frequency of optometrist offices by SLA per 100,000 residents in 2008.
See this image and copyright information in PMC

References

    1. Taylor H, Keeffe J, Arnold AL, Dunn R, Fox S, Goujon N, Xie J, Still R, Burnett A, Marolia M, Shemesh T, Carrigan J, Stanford E. National Indigenous Eye Health Survey. Melbourne: The University of Melbourne; 2009. Available at: http://www.iehu.unimelb.edu.au/publications/?a=339842.
    1. Whitehead M. The concepts and principles of equity and health. Health Promot Int. 1992;22(3):429–445. - PubMed
    1. Braveman P, Gruskin S. Defining equity in health. J Epidemiology and Community Health. 2003;57(4):254–258. doi: 10.1136/jech.57.4.254. - DOI - PMC - PubMed
    1. Marmot M. Social determinants of health inequalities. Lancet. 2005;365(9464):1099–1104. - PubMed
    1. Majeed M, Williams C, Northstone K. et al.Are there inequities in the utilisation of childhood eye-care sercices in realtion to socio-economic status? Evidence from the ALSPAC cohort. Br J Ophthalmol. 2008;92(7):965–969. doi: 10.1136/bjo.2007.134841. - DOI - PubMed

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