Sign in with your email address username.

×

Reports indicate that changes are needed to close the gap for Indigenous health

8892_14.00057.jpg

To the Editor: The summation by Russell that “the inescapable reality is that current primary care interventions are not working”1 overlooks evidence of significant improvements in the Northern Territory. The latest “closing the gap” report indicates that the Indigenous mortality gap in the NT should close within a generation.2

Mortality among NT Indigenous adults has declined by a third since 2000.2 We attribute this positive outcome primarily to effective use of primary health care funding, which has been progressively increased and equitably distributed, since 2001. This money has funded universally adopted e-health solutions and NT key performance indicators, which drive continuous quality improvement initiatives. These are backed by common clinical guidelines, with increasing adherence rates, that are used in all Aboriginal primary health care clinics.3

The statement “ACCHOs [Aboriginal community controlled health organisations] have had little influence on the mainstream health system”1 neglects experience in the NT, where the ACCHO sector is a co-owner of the NT Medicare Local and remains a critical driver in the NT Aboriginal Health Forum (NTAHF). Now in its 15th year, the NTAHF has secured government…

email