Abstract
Chapter 4 focuses on the analyses associated with the SDH identified as impacting adversely on the health and wellbeing of the children/young people reported by healthcare professionals to whom these patients had presented for medical attention. It commences with demographic features of the cohort and proceeds to present each of the SHD and sub-themes with summary tables provided throughout to guide the reader.
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Notes
- 1.
In the majority of cases we make reference to children/young people or children/adolescents. On occasion we use ‘children’ as the umbrella term for patients of any age group. We do also sometimes make reference to patients and ‘cases’. The terms used aim to improve readability and do not reflect any value judgments.
- 2.
An additional five CRs made reference to violence in the child/young person’s environment as part of the background information collected during the child/young person’s contact with health services. These cases have been excluded from this analysis because no further detail was provided.
- 3.
We use the term ‘unemployed’ to reflect the manner with which work status was referred to by healthcare professionals. In Chap. 6, we provide clarifications on terms.
- 4.
“A Health Care Card entitles you to cheaper prescription medicines under the Pharmaceutical Benefits Scheme.” but holders of this card may also receive bulk-billing for doctors’ visits, be beneficiaries of other state or council benefits such as energy bill, transport and council rates discounts, and other healthcare benefits. https://www.servicesaustralia.gov.au/individuals/services/centrelink/health-care-card/who-can-get-card/what-benefits-are.
- 5.
An inability to access an Aboriginal Liaison Officer outside of working hours resulted in the mother discharging her child against medical advice.
- 6.
This is of course clearly also linked to affordability of health care and to the financial difficulties many faced. Evidently, this is also hugely challenging for specialist services unless payments are negotiated.
- 7.
The square brackets, [], indicate the missing letter in the healthcare professional’s report.
References
Young, J. and R. McGrath, Exploring discourses of equity, social justice and social determinants in Australian health care policy and planning documents. Australian Journal of Primary Health, 2011. 17(4) p. 369–377.
World Health Organization. Social determinants of health Last Accessed 30 July 2020; Available from: https://www.who.int/social_determinants/sdh_definition/en/.
Blas, E., A. Sivasankara Kurup, and World Health Organization, Equity, social determinants and public health programmes, ed. E. Blas and A. Sivasankara Kurup. 2010, Switzerland: World Health Organization.
Council of Attorneys-General, National Plan to Respond to the Abuse of Older Australians (Elder Abuse) 2019–2023. 2019, Canberra, ACT: Council of Attorneys-General.
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Xafis, V., Fakhouri, A., Currow, K., Brancatisano, S., Bryan-Clothier, W. (2021). Results of Health Inequity Analyses. In: Health Inequity Experienced by Australian Paediatric Patients. Springer, Singapore. https://doi.org/10.1007/978-981-16-3338-6_4
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