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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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  • Campbell, David
  • Burgess, Christopher Paul
  • Garnett, Stephen Thomas
  • Wakerman, John

Abstract

Rationale To identify the possible savings in the cost of primary health care of chronic disease associated with the participation by Aboriginal people in land management. In so-doing we investigate the connection of health of Aboriginal people and the extent of their involvement in land management in remote-very remote Australia.Methods Possible savings in primary care costs for hypertension, renal disease and diabetes were estimated using multivariate regression to examine associations between Aboriginal involvement in land management and Northern Territory Government-defined chronic disease outcomes, controlling for socio-demographics and health behaviours. Participants were 298 Aboriginal adults aged 15-54 from a remote Aboriginal community, classified by their chronic disease status and a previously validated measure of self-reported participation in land management activities.Results Land management participants were significantly less likely to have diabetes, renal disease or hypertension. Using the sampled mean value of engagement in land management, we found the expected net annual savings for the community from involvement in land management of $268,000. This equates to a net present value of primary health care savings in chronic disease care for the sampled community over 25 years of $4.08 million. This estimate does not include further savings in other primary health conditions nor costs anticipated in referred and hospital-based health care for chronic disease.Conclusion While the association between involvement in land management and better health requires further clarification, our findings indicate that significant and substantial primary health care cost savings may be associated with greater participation in land management activities. These estimated savings are in addition to the market and non-market economic benefits of a healthier population and environmental benefits.

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  • Campbell, David & Burgess, Christopher Paul & Garnett, Stephen Thomas & Wakerman, John, 2011. "Potential primary health care savings for chronic disease care associated with Australian Aboriginal involvement in land management," Health Policy, Elsevier, vol. 99(1), pages 83-89, January.
    • Handle: RePEc:eee:hepoli:v:99:y:2011:i:1:p:83-89
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    2. David Campbell, 2016. "Economies through Application of Nonmedical Primary-Preventative Health: Lessons from the Healthy Country Healthy People Experience of Australia’s Aboriginal People," IJERPH, MDPI, vol. 13(4), pages 1-16, April.
    3. Kerstin Zander & Lisa Petheram & Stephen Garnett, 2013. "Stay or leave? Potential climate change adaptation strategies among Aboriginal people in coastal communities in northern Australia," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 67(2), pages 591-609, June.
    4. Preece, Luke D. & van Oosterzee, Penny & Dungey, Kym & Standley, Peta-Marie & Preece, Noel D., 2016. "Ecosystem service valuation reinforces world class value of Cape York Peninsula's ecosystems but environment and indigenous people lose out," Ecosystem Services, Elsevier, vol. 18(C), pages 154-164.
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    6. Alfred Dockery, 2016. "A Wellbeing Approach to Mobility and its Application to Aboriginal and Torres Strait Islander Australians," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 125(1), pages 243-255, January.
    7. Leonard J. S. Tsuji & Stephen R. J. Tsuji & Aleksandra M. Zuk & Roger Davey & Eric N. Liberda, 2020. "Harvest Programs in First Nations of Subarctic Canada: The Benefits Go Beyond Addressing Food Security and Environmental Sustainability Issues," IJERPH, MDPI, vol. 17(21), pages 1-24, November.
    8. Manero, Ana & Taylor, Kat & Nikolakis, William & Adamowicz, Wiktor & Marshall, Virginia & Spencer-Cotton, Alaya & Nguyen, Mai & Grafton, R. Quentin, 2022. "A systematic literature review of non-market valuation of Indigenous peoples’ values: Current knowledge, best-practice and framing questions for future research," Ecosystem Services, Elsevier, vol. 54(C).
    9. Kerstin K Zander & Stephen T Garnett, 2011. "The Economic Value of Environmental Services on Indigenous-Held Lands in Australia," PLOS ONE, Public Library of Science, vol. 6(8), pages 1-6, August.
    10. Michael Dockery & Judith Lovell, 2016. "Far Removed: An Insight into the Labour Markets of Remote Communities in Central Australia," Australian Journal of Labour Economics (AJLE), Bankwest Curtin Economics Centre (BCEC), Curtin Business School, vol. 19(3), pages 145-174.
    11. Jonathan Kingsley & Mardie Townsend & Claire Henderson-Wilson & Bruce Bolam, 2013. "Developing an Exploratory Framework Linking Australian Aboriginal Peoples’ Connection to Country and Concepts of Wellbeing," IJERPH, MDPI, vol. 10(2), pages 1-21, February.
    12. Zander, Kerstin K. & Dunnett, Desleigh R. & Brown, Christine & Campion, Otto & Garnett, Stephen T., 2013. "Rewards for providing environmental services — Where indigenous Australians' and western perspectives collide," Ecological Economics, Elsevier, vol. 87(C), pages 145-154.
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