‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth
Diabetes prevalence is increasing in Australia, and there are stark inequities in prevalence and clinical outcomes experienced by Indigenous people and low socioeconomic groups compared with non-Indigenous and socioeconomically advantaged groups. This paper explores the impact of Indigenous status a...
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| Format: | Journal Article |
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C S I R O Publishing
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/21128 |
| _version_ | 1848750503767310336 |
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| author | Cuesta-Briand, Beatriz Saggers, Sherry McManus, Alexandra |
| author_facet | Cuesta-Briand, Beatriz Saggers, Sherry McManus, Alexandra |
| author_sort | Cuesta-Briand, Beatriz |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Diabetes prevalence is increasing in Australia, and there are stark inequities in prevalence and clinical outcomes experienced by Indigenous people and low socioeconomic groups compared with non-Indigenous and socioeconomically advantaged groups. This paper explores the impact of Indigenous status and socioeconomic disadvantage on the experience of diabetes care in the primary health setting. Data were collected through focus groups and interviews. The sample, comprising 38 participants (Indigenous and non-Indigenous), was recruited from disadvantaged areas in Perth, Australia. Data analysis was mainly deductive and based on a conceptual framework for the relationship between socioeconomic position and diabetes health outcomes. Most participants reported accessing general practitioners regularly; however, evidence of access to dietitians and podiatrists was very limited. Perceived need, cost, lack of information on available services and previous negative experiences influenced health care-seeking behaviour. Complexity and lack of coordination characterised the model of care reported by most participants. In contrast, Indigenous participants accessing an Aboriginal community-controlled health organisation reported a more accessible and coordinated experience of care. Our analysis suggests that Indigenous and socioeconomically disadvantaged people tailor their health care-seeking behaviour to the limitations imposed by their income and disadvantaged circumstances. To reduce inequities in care experiences, diabetes services in primary care need to be accessible and responsive to the needs of such groups in the community. |
| first_indexed | 2025-11-14T07:37:52Z |
| format | Journal Article |
| id | curtin-20.500.11937-21128 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:37:52Z |
| publishDate | 2014 |
| publisher | C S I R O Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-211282017-09-13T13:52:23Z ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth Cuesta-Briand, Beatriz Saggers, Sherry McManus, Alexandra barriers model of care health care-seeking behaviour access health inequalities disadvantage Diabetes prevalence is increasing in Australia, and there are stark inequities in prevalence and clinical outcomes experienced by Indigenous people and low socioeconomic groups compared with non-Indigenous and socioeconomically advantaged groups. This paper explores the impact of Indigenous status and socioeconomic disadvantage on the experience of diabetes care in the primary health setting. Data were collected through focus groups and interviews. The sample, comprising 38 participants (Indigenous and non-Indigenous), was recruited from disadvantaged areas in Perth, Australia. Data analysis was mainly deductive and based on a conceptual framework for the relationship between socioeconomic position and diabetes health outcomes. Most participants reported accessing general practitioners regularly; however, evidence of access to dietitians and podiatrists was very limited. Perceived need, cost, lack of information on available services and previous negative experiences influenced health care-seeking behaviour. Complexity and lack of coordination characterised the model of care reported by most participants. In contrast, Indigenous participants accessing an Aboriginal community-controlled health organisation reported a more accessible and coordinated experience of care. Our analysis suggests that Indigenous and socioeconomically disadvantaged people tailor their health care-seeking behaviour to the limitations imposed by their income and disadvantaged circumstances. To reduce inequities in care experiences, diabetes services in primary care need to be accessible and responsive to the needs of such groups in the community. 2014 Journal Article http://hdl.handle.net/20.500.11937/21128 10.1071/PY12096 C S I R O Publishing restricted |
| spellingShingle | barriers model of care health care-seeking behaviour access health inequalities disadvantage Cuesta-Briand, Beatriz Saggers, Sherry McManus, Alexandra ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth |
| title | ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth |
| title_full | ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth |
| title_fullStr | ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth |
| title_full_unstemmed | ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth |
| title_short | ‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth |
| title_sort | ‘it still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in perth |
| topic | barriers model of care health care-seeking behaviour access health inequalities disadvantage |
| url | http://hdl.handle.net/20.500.11937/21128 |