People with complex conditions/comorbidities Medical care Aboriginal people and Number undergoing biopsy provided Torres Strait Islanders Nephrologists knowledge of patients’ race affecting interpretation of histological findings Shorter time between referral to nephrologist and commencement of dialysis (indicator that disease has progressed further before seeing a nephrologist) Residents of rural or Distance to services remote areas Limited specialist/medical workforce Access to a Patients with CKD5 May plan not to dialyse nephrologist Limited information on range of treatment options and consequences of selecting any one of them Higher of Aboriginal people and Lower rates of early attendance at antenatal ESRD Torres Strait Islanders care and attendance throughout pregnancy Limited access to: Comprehensive primary health care; Secondary prevention programs; Screening at community Tertiary RRT; Renal transplantation (None of are explained by differences in age, sex, co-morbidities or causes of renal disease) Literacy and health literacy Incidence of RRT Non-Indigenous patients Start RRT with lower levels of kidney from low socioeconomic function backgrounds More than 5 younger when beginning RRT (than advantaged groups) Higher prevalence of precursor diseases, risk factors and milder of CKD Faster rates of progress of kidney disease SES to have greater influence in major cities than in rural areas because: Patients may move to cities Patients may be less likely to obtain specialist care Patients may be less likely to be offered RRT Patients may choose palliative care over RRT History and language People from advantaged Less likely to be referred late for RRT areas
People with complex conditions/comorbidities Medical care provided Aboriginal people and Torres Strait Islanders Number undergoing biopsy Nephrologists knowledge of patients’ race affecting interpretation of histological findings Shorter time between referral to nephrologist and commencement of dialysis (indicator that disease has progressed further before seeing a nephrologist) Residents of rural or remote areas Distance to services Limited specialist/medical workforce Access to a nephrologist Patients with CKD5 May plan not to dialyse Limited information on range of treatment options and consequences of selecting any one of them Higher of ESRD Aboriginal people and Torres Strait Islanders Lower rates of early attendance at antenatal care and attendance throughout pregnancy Limited access to: Comprehensive primary health care; Secondary prevention programs; Screening at community Tertiary RRT; Renal transplantation (None of are explained by differences in age, sex, co-morbidities or causes of renal disease) Literacy and health literacy Incidence of RRT Non-Indigenous patients from low socioeconomic backgrounds Start RRT with lower levels of kidney function More than 5 younger when beginning RRT (than advantaged groups) Higher prevalence of precursor diseases, risk factors and milder of CKD Faster rates of progress of kidney disease SES to have greater influence in major cities than in rural areas because: Patients may move to cities Patients may be less likely to obtain specialist care Patients may be less likely to be offered RRT Patients may choose palliative care over RRT History and language People from advantaged areas Less likely to be referred late for RRT
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