Log in with your email address username.


Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

Indigenous health expenditure deficits obscured in Closing the Gap reports

- Featured Image

Indigenous health expenditure trends are obscured amid myriad medical indicators and reports on Indigenous Australians’ health. The Australian Government’s Closing the Gap strategy seeks health equality for Indigenous and Torres Strait Islander peoples. However, neglecting the economics of the strategy perpetuates poor system performance as financial and resource constraints on individuals, and increasingly on the public health system, are ignored.

In contrast with Australian reporting, nearly a third of health system performance indicators of the World Health Organization’s 100 core health indicators (2015) relate to expenditure.1

Four interacting factors within Australia’s health system are potentially lethal for many Indigenous people:

  • Limited Indigenous-specific primary health care services;

  • Indigenous peoples’ underutilisation of many mainstream health services and limited access to government health subsidies;

  • Increasing price signals in the public health system and low Indigenous private health insurance rates;

  • Failure to maintain real expenditure levels over time.

Government expenditure is not commensurate with the substantially greater and more complex health needs of Indigenous Australians. It should be indexed to reflect these…