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Cvd Management And Prevention Of Indigenous Australians

Decent Essays

CVD management and prevention in Indigenous Australians is complicated by rural and remote living conditions, lower socio-economic status, cultural differences and the psychosocial losses suffered by the Indigenous due to colonization.

As was previously briefly discussed, cardiac rehabilitation (CR) is well recognised as being effective in CVD management and secondary prevention and is a common intervention, supported by the Australian state and federal government policy (7, 8). (7, 8). Improved clinical and behavioural outcomes have been found due to CR, such as a reduction in successive cardiovascular events and hospitalisation as well improved survival rates (7). CR services are multi-factorial and deliver guidance and education for …show more content…

These low attendance rates indicate issues in the healthcare service (7). Referral rates vary from 10 to 60% and are an organisational barrier to access (7). Barriers to CR use include extended family responsibilities, problems with family support and understanding, socio-cultural appropriateness of programs, lack of knowledge about CR, financial issues and connection between colonisation and health services (7).

CR and other secondary prevention interventions need to be flexible and adapted to meet the needs, preferences and cultural safety of Indigenous individuals (7). Patient-centred access to health care must be approachable, acceptable, available, affordable and appropriate (7). A drive time of over an hour is a common barrier of access to CR for individuals living rurally and is linked to the lack of referral to and enrolment in CR (7). Approximately 15% of Indigenous Australians live in geographical regions with poor physical access to CR-providing health services (7). A possible solution to this is the utilisation of alternative methods of delivery such as home-based CR via telehealth or mobile health platforms (7). Coordination to ensure continuity of care for Indigenous patients is necessary to address the lack of knowledge of and referral to CR services (7). Partnerships and information flow between health services and referral pathways create integrated networks (7). While metropolitan public hospitals are a major referral pathway for

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