Impact of the COVID-19 pandemic on primary care delivery in a remote Aboriginal community

被引:0
|
作者
Hamilton, Yasuchiyo [1 ,4 ]
Cairns, Alice [2 ,5 ]
Jones, Rhondda [3 ]
机构
[1] Griffith Univ, Sch Med & Dent, Southport, Qld, Australia
[2] James Cook Univ, Australia Inst Trop Hlth & Med, Murtupini Ctr Rural & Remote Hlth, Townsville, Qld, Australia
[3] James Cook Univ, Trop Australian Acad Hlth Ctr, Townsville, Qld, Australia
[4] Griffith Univ, Sch Med & Dent, Southport, Qld 4215, Australia
[5] James Cook Univ, Australia Inst Trop Hlth & Med, Murtupini Ctr Rural & Remote Hlth, Townsville, Qld 4811, Australia
关键词
chronic disease management; community health; First Nations; Indigenous; pandemic; preventative health; public health services; rural health; telehealth; Torres Strait Islander; HEALTH;
D O I
10.1071/PY23026
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The coronavirus disease 2019 (COVID-19) pandemic has disrupted the delivery of primary health care internationally, particularly for the most marginalised groups. This project investigated the impact of the initial response to the COVID-19 pandemic on the delivery of primary health care in a remote First Nations community in Far North Queensland with a high chronic disease burden. There were no confirmed cases of COVID-19 circulating in the community at the time of the study. A comparison was conducted of patient numbers presenting to a local primary healthcare centre (PHCC) in the periods before, during and after the initial peak of Australian COVID-19 restrictions in 2020, compared to the same period in 2019. A significant proportional decrease was observed in the number of patients that presented from the target community during the initial restrictions. A sub-analysis of preventative services delivered to a defined high-risk group found that services delivered did not decrease to this particular group during the periods of interest. This study has highlighted that there is a risk of underutilisation of primary healthcare services during a health pandemic in remote settings. Strengthening the primary care system to adequately provide ongoing services during natural disasters requires further consideration to reduce the risk of long-term impacts of service disengagement.
引用
收藏
页码:416 / 421
页数:6
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