ihateusednames

ihateusednames t1_ix7n4io wrote

Reply to comment by sonyka in Indigenous people are less likely to survive the year after an ICU admission. 12 months after being admitted to intensive care, an Indigenous person is more likely to have died than a non-Indigenous person, according to Australian research. by MistWeaver80

Encouraging growth of HCPs in indigenous communities is an interesting idea, might take some time to pull off because they are far from other forms of infrastructure there is also the issue of medical education.

I completely understand why follow-up care compliance is low, I'd have a difficult time arranging that much travel / time spent doing this and I have a flexible schedule + a working car / efficient highway system.

First step is convincing people that this is an "everyone" problem.

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ihateusednames t1_ix78hme wrote

Reply to comment by candlesandfish in Indigenous people are less likely to survive the year after an ICU admission. 12 months after being admitted to intensive care, an Indigenous person is more likely to have died than a non-Indigenous person, according to Australian research. by MistWeaver80

Great bit about the distance, so lack of infrastructure as well. I wasn't satisfied with what I had suggested so I do appreciate your thoughts into this.

Found a pretty good journal article about it pretty easily they seem to think it's about distance as well https://link.springer.com/article/10.1186/1471-2458-12-281

Aboriginal and non-aboriginal people had similar 365-day rates going to the same long-distance hospitals. Conclusion: They need better hospitals.

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ihateusednames t1_ix78198 wrote

Reply to comment by JJisTheDarkOne in Indigenous people are less likely to survive the year after an ICU admission. 12 months after being admitted to intensive care, an Indigenous person is more likely to have died than a non-Indigenous person, according to Australian research. by MistWeaver80

It might not directly. I can't get too much into it without getting anecdotal / sifting through databases but even the best medical systems in the world discriminate, it's kind just something people do. Even if they addressed race, you could go to a hundred trainings to not discriminate against aboriginal people, unless the program had a wide scope you might see someone obviously poor walk into the ER in pain and be more inclined to mark them down as drug-seeking.

That doesn't even get into what r/candlesandfish brought up, you could consider not building enough capable hospitals in areas where aboriginals tend to live a form of discrimination.

Discrimination by race is craftier than a sign painted "No Aboriginals", very often it is subconscious, and even if there is a special health system designed to bridge the gap (happy they're trying at least) without infrastructure and funding to back it up it's a band-aid solution.

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ihateusednames t1_ix6d34m wrote

Reply to comment by stewartm0205 in Indigenous people are less likely to survive the year after an ICU admission. 12 months after being admitted to intensive care, an Indigenous person is more likely to have died than a non-Indigenous person, according to Australian research. by MistWeaver80

Question is then what's keeping them from getting follow-up care.

Socioeconomic factors? Medical system abuse / lack of trust?

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