A long way from home: Access to cancer care for rural Australians

摘要: Abstract In 2002, the Commonwealth Radiation Oncology Inquiry reported that access to cancer care services in Australia was seriously limited. Several recommendations were made, including improving rural areas by increasing number of comprehensive oncology facilities outside cities. Much has changed since with establishment a Regional Integrated Cancer Centres. This been boosted again 2011 further Government funding. is primarily disease elderly and, ageing population for and remote Australians remains major challenge. second most common cause death Australia, exceeded only cardiovascular disease. It relative risk dying within 5 years diagnosis 35% higher those living locations compared Overall mortality significantly (206 deaths per 100,000) urbanised (172 100,000). Aboriginal (230 The reasons disparity outcomes metropolitan versus non-metropolitan are varied. general, residents have travel long distances stay away from home, family work periods time they need. Hence, distance overriding barrier access, compounded financial costs disruption life, not mention endemic lack specialist medical allied health workforce Some choose compromise, accessing whatever can locally, although this contributes need close where people live die, deal complex associated morbidities. Recent government investment new regional infrastructure essential; however, it entire solution. Staffing calls innovative solutions, managed pathways, outreach programs, models shared use telemedicine. There also better address issues Indigenous cultural safety reduction population.