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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care

Access to Primary Health Care

This collection of Australian Journal of Primary Health papers focuses on access to care. The papers showcase a variety of topics across the lifespan, including oral health care for First Nations children, preventive health care for people experiencing severe mental illness, and the sensory health of people with dementia. They illustrate new approaches to working with allied health clinicians, policy change to improve access to oral health and workforce capability, and a theory-informed approach to data analysis. This collection has documented current experiences of access to care among different populations and highlighted new approaches and models to improve access.

Collection Editors
Annette Peart (Eastern Health Clinical School, Monash University, Vic., Australia)
Sabuj Kanti Mistry (School of Population Health, University of New South Wales, Australia)
Siân Slade (Nossal Institute for Global Health, The University of Melbourne, Vic., Australia)

Last Updated: 01 Mar 2024

PY23136Quantitative analysis on dental utilisation in culturally and linguistically diverse mothers

Kanchan Marcus 0000-0002-2457-4004, Madhan Balasubramanian 0000-0003-2798-5850, Stephanie D. Short 0000-0002-9215-3308 and Woosung Sohn 0000-0002-7486-9652

Culturally and linguistically diverse (CALD) mothers are influential in children’s behaviours, yet little is known about this population, whereas even less is known about CALD mothers experiencing distress and their oral health behaviours. This quantitative study addresses these gaps to investigate oral healthcare in CALD mothers. Findings affirm the need for improved integrated primary healthcare in general and oral health, and the expansion for services to outer regional and remote areas for health equity in CALD communities.

This article belongs to the Collection Access to Primary Health Care.

PY23195Access to general practice for preventive health care for people who experience severe mental illness in Sydney, Australia: a qualitative study

Catherine Spooner 0000-0002-6741-5644, Peri O’Shea 0009-0008-1393-2516, Karen R. Fisher 0000-0002-0828-6395, Ben Harris-Roxas 0000-0003-1716-2009, Jane Taggart 0000-0001-7283-6710, Patrick Bolton 0000-0002-3401-553X and Mark F. Harris 0000-0002-0705-8913

People with lived experience of severe mental illness (PWLE) experience poorer physical health and worse access to preventive care than the general population. This paper provides information from a lived experience perspective on how PWLE in Sydney, Australia have been able to access preventive care from a GP. These results highlight the importance of supporting PWLE to access effective preventive care across their journey and suggest specific areas for improvement in GP capabilities and care coordination/shared care.

Self-determination informed policies are key to improved outcomes for Aboriginal health. The paper presents work on an oral health policy, undertaken under Loddon Mallee Aboriginal Reference Group’s leadership on an Australian state (Victoria) regulation – The Drugs, Poisons and Controlled Substances Amendment (Registered Aboriginal and Torres Strait Islander Health Practitioners) Regulations 2022, as an exemplar of a self-determination informed change. The amendment translates to a culturally appropriate integrated oral health promotion model that addresses dental access barriers experienced by Aboriginal people.

This article belongs to the Collection Access to Primary Health Care.

Access to allied health services offers significant benefits for people living with dementia, yet access is currently fragmented and inconsistent. People living with dementia are at greater risk of experiencing vision impairment, preventable through regular eye examinations usually provided by community-based optometrists in a primary care capacity. We encourage all primary care practitioners to ‘think vision’ when consulting with people living with dementia, and advocate for a schedule of regular eye tests post-diagnosis.

This article belongs to the Collection Access to Primary Health Care.