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    ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth

    Access Status
    Fulltext not available
    Authors
    Cuesta-Briand, Beatriz
    Saggers, Sherry
    McManus, Alexandra
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Cuesta-Briand, B. and Saggers, S. and McManus, A. 2014. ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth. Australian Journal of Primary Health. 20 (2): pp. 143-150.
    Source Title
    Australian Journal of Primary Health
    DOI
    10.1071/PY12096
    ISSN
    1448-7527
    School
    Centre of Excellence for Science, Seafood & Health (CoESSH)
    URI
    http://hdl.handle.net/20.500.11937/21128
    Collection
    • Curtin Research Publications
    Abstract

    Diabetes prevalence is increasing in Australia, and there are stark inequities in prevalence and clinical outcomes experienced by Indigenous people and low socioeconomic groups compared with non-Indigenous and socioeconomically advantaged groups. This paper explores the impact of Indigenous status and socioeconomic disadvantage on the experience of diabetes care in the primary health setting. Data were collected through focus groups and interviews. The sample, comprising 38 participants (Indigenous and non-Indigenous), was recruited from disadvantaged areas in Perth, Australia. Data analysis was mainly deductive and based on a conceptual framework for the relationship between socioeconomic position and diabetes health outcomes. Most participants reported accessing general practitioners regularly; however, evidence of access to dietitians and podiatrists was very limited. Perceived need, cost, lack of information on available services and previous negative experiences influenced health care-seeking behaviour. Complexity and lack of coordination characterised the model of care reported by most participants. In contrast, Indigenous participants accessing an Aboriginal community-controlled health organisation reported a more accessible and coordinated experience of care. Our analysis suggests that Indigenous and socioeconomically disadvantaged people tailor their health care-seeking behaviour to the limitations imposed by their income and disadvantaged circumstances. To reduce inequities in care experiences, diabetes services in primary care need to be accessible and responsive to the needs of such groups in the community.

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    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.