Partnership Health Canterbury – Capitated Age Bands PHO: Dec 2009
Ethnic Report Card
Ethnic Report Card
Interpreters Every consumer has the right to effective communication in a form, language, and manner that enables the consumer to understand the information provided. Where necessary & reasonably practicable, this includes the right to a competent interpreter. Right 5. Right to Effective Communication (1)The Health & Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulations 1996
Diabetes 9.7% 92,400,000 15.5% 148, 200,000 NEJM – March 2010 ~6,800 people 2008 - 400 2009 - 263
In the 2006/07 New Zealand Health Survey, Asian males and females had almost 2.5 (males) and over 1.5 (females) times the prevalence of diagnosed diabetes than males and females in the total population. This placed the Asian adult group with the second highest incidence of diagnosed diabetes behind that of Pacific Islanders.
Health Issues - Migrant Lack of understanding of the NZ health system Language barriers Cultural barriers Low access to services Little knowledge of entitlements Inappropriate use of ED
Number of general practices with enrolled refugees = 22
Enrolled patients vary from 2 to 155
Average sustainable by most general practices <20
Practices either contracted or fee-for-service
First three months fully covered by PHO - until capitation funding is received
After that, funding depends on patients ability to contribute – this can take weeks/months depending on language, employment, health issues
Last financial year, the PHO received $105k for refugee primary health care.
Currently 740 enrolled people from refugee backgrounds; Somali, Ethiopian, Afghani, Iranian, Iraqi, Kurdish, Burmese, Cambodian, Bhutanese.
Changes to Canterbury's refugee and migrant mental health service will make it harder for troubled refugees to get help, the departing clinical leader fears. The Hillmorton Hospital service is changing from a dedicated assessment and treatment service to a consult-only service with the loss of its founder and clinical leader, Dr Lynne Briggs. Canterbury District Health Board general manager of specialist mental health services Sandra Walker said patients would have access to a specialist service in the same way as in the past. She said experienced psychiatrists would continue to provide consultations that could involve some brief intervention, prescribing drugs or referring patients to a GP.
PHC Future Activities Providing advice on access to services & linguistically specific literature Roll out nutritional programmes Advocating culturally specific services, centrally based, affordable interpreter service & culturally appropriate mental health services. Funding is key to this.
PHC Future Activities PHC Future Activities Workforce development for trained migrants Improve PHO ethnicity data Target funding for migrant primary health care Establish a PCW based in an Asian organisation Key liaison function with agencies
Primary Health Care Issues Amongst Asian Peoples in Christchurch The report recommends: Governance:
The development of an Asian Health Advisory Board as part of PHC
The implementation of an Asian Mental Health Governance and Management project
The creation of an Asian Health Careers Service to address current barriers to employment
The development of an Asian Health Profile for Canterbury
The improvement of ethnicity data to accurately target specific groups.
Primary Health Care Issues Amongst Asian Peoples in Christchurch Activity:
The development of a DVD presentation covering basic nutrition and healthy food choices.
A concerted push through the ethnic media and societies to increase the level of enrolment to general practice.
The provision of an effective, safe interpreting and translation service for Asian people
The improvement of access to appropriate health services
The improvement of the utilisation of health services
A focus on health promotion, early intervention and a reduction in risk behaviours
The development of an Asian Health Needs Analysis
Inclusion of an Asian section in the CDHB DAP
The development of language-specific literature across all health spectra.