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HMS, HAG 2024 HSC 27

Select ONE of the following groups that experience health inequities:

  • Socioeconomically disadvantaged people
  • People in rural and remote areas
  • Overseas-born people
  • The elderly
  • People with disabilities

To what extent do socioeconomic factors affect the health of this group?   (8 marks)
  

Group selected:............................................................................................

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Group selected: People with disabilities

Introduction – Overall judgement

  • Socioeconomic factors significantly affect the health of people with disabilities in Australia
  • Create a cycle of disadvantage that severely impacts both physical and mental wellbeing
  • Influence multiple aspects of life including healthcare access, housing, and social participation

Employment barriers – Primary socioeconomic influence

  • Approximately 30% lower employment rates than general population
  • Limited income potential restricts ability to afford:
    • Specialised healthcare services not covered by Medicare
    • Gap payments for NDIS-supported therapies
    • Essential assistive technologies and modifications
  • Directly impacts access to vital treatments, therapies, and medications

Educational disadvantage – Compounding factor

  • Physical access barriers and inadequate support in educational settings
  • Lower completion rates of secondary and tertiary education
  • Results in limited employment options and lower-paying positions
  • Creates cycle of disadvantage affecting ability to afford:
    • Private health insurance
    • Preventative healthcare services
    • Regular health monitoring

Housing challenges – Financial manifestation

  • Limited accessible housing options at premium prices
  • Contributes to housing stress and potential homelessness
  • Associated mental health conditions including anxiety and depression
  • Extended waiting lists for accessible public housing (often several years)
  • Many forced to live in unsuitable accommodation that compromises health and safety

Counter-argument – Other determinants:

  • Environmental barriers exist regardless of socioeconomic status
  • Healthcare system gaps include inaccessible facilities and equipment
  • Societal attitudes and stigma affect quality of care
  • Healthcare professionals’ lack of disability awareness leads to diagnostic overshadowing
  • These factors can affect health independent of financial means

Predominant influence – Financial burden:

  • Gap payments for therapies not fully covered by support systems
  • Specialised equipment costs beyond subsidies
  • Home modifications essential for independence
  • Significant portion of household income consumed by disability-related expenses
  • Disability Support Pension often insufficient, falling below poverty line
  • Forces difficult choices between healthcare needs and other essentials

Conclusion – Final judgment:

  • Socioeconomic factors affect health of people with disabilities to a very large extent
  • While other factors contribute, financial disadvantage creates the most pervasive barriers
  • Long-term cycle of disadvantage significantly impacts:
    • Quality of life
    • Health outcomes
    • Life expectancy for Australians with disabilities
Show Worked Solution

Group selected: People with disabilities

Introduction – Overall judgement

  • Socioeconomic factors significantly affect the health of people with disabilities in Australia
  • Create a cycle of disadvantage that severely impacts both physical and mental wellbeing
  • Influence multiple aspects of life including healthcare access, housing, and social participation

Employment barriers – Primary socioeconomic influence

  • Approximately 30% lower employment rates than general population
  • Limited income potential restricts ability to afford:
    • Specialised healthcare services not covered by Medicare
    • Gap payments for NDIS-supported therapies
    • Essential assistive technologies and modifications
  • Directly impacts access to vital treatments, therapies, and medications

Educational disadvantage – Compounding factor

  • Physical access barriers and inadequate support in educational settings
  • Lower completion rates of secondary and tertiary education
  • Results in limited employment options and lower-paying positions
  • Creates cycle of disadvantage affecting ability to afford:
    • Private health insurance
    • Preventative healthcare services
    • Regular health monitoring

Housing challenges – Financial manifestation

  • Limited accessible housing options at premium prices
  • Contributes to housing stress and potential homelessness
  • Associated mental health conditions including anxiety and depression
  • Extended waiting lists for accessible public housing (often several years)
  • Many forced to live in unsuitable accommodation that compromises health and safety

Counter-argument – Other determinants:

  • Environmental barriers exist regardless of socioeconomic status
  • Healthcare system gaps include inaccessible facilities and equipment
  • Societal attitudes and stigma affect quality of care
  • Healthcare professionals’ lack of disability awareness leads to diagnostic overshadowing
  • These factors can affect health independent of financial means

Predominant influence – Financial burden:

  • Gap payments for therapies not fully covered by support systems
  • Specialised equipment costs beyond subsidies
  • Home modifications essential for independence
  • Significant portion of household income consumed by disability-related expenses
  • Disability Support Pension often insufficient, falling below poverty line
  • Forces difficult choices between healthcare needs and other essentials

Conclusion – Final judgment:

  • Socioeconomic factors affect health of people with disabilities to a very large extent
  • While other factors contribute, financial disadvantage creates the most pervasive barriers
  • Long-term cycle of disadvantage significantly impacts:
    • Quality of life
    • Health outcomes
    • Life expectancy for Australians with disabilities

♦♦ Mean mark 45%.

Filed Under: Groups Experiencing Inequities Tagged With: Band 4, Band 5, smc-5475-10-Determinants interaction, smc-5475-15-Inequity causes, smc-5475-25-Vulnerable groups

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