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Potential primary health care savings for chronic disease care associated with Australian Aboriginal involvement in land management

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Summary:

This Australian study estimated possible savings in primary care costs for hypertension, renal disease and diabetes associated with Aboriginal involvement in land management and Northern Territory Government-defined chronic disease outcomes. The study enrolled 298 Aboriginal adults aged 15–54 from a remote Aboriginal community. Land management participants were significantly less likely to have diabetes, renal disease or hypertension. Expected net annual savings for the community from involvement in land management amounted to $AU268,000, equating to a net present value of primary health care savings in chronic disease care for the sampled community over 25 years of $AU4.08 million. The researchers note that these estimated savings are in addition to the market and non-market economic benefits of a healthier population and environmental benefits.

Comment:
I found this paper interesting – not only for the documenting of the benefits in health outcomes for indigenous Australians who were ‘involved’ in land management (and what does ‘involved’ mean?) but that the authors have chosen to highlight the cost savings. I think we will increasingly be asked to consider or describe ‘economic outcomes’ in the indigenous health space.
Reference: Health Policy. 2011;99(1):83-9.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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