Sunday 6 April 2008
Is Northern Rivers regional living bad for your health?
The Northern Star published this account yesterday.
"I got there half an hour later and they said 'he's right to go home'; but I persisted because I knew he was not alright," Ms Randall said.
North Coast Area Health Service clinical operations executive director Denice Fletcher rejected suggestions staff at the Casino and later Lismore hospitals did not take Rhys' condition seriously, saying he was kept under close observation in the emergency department while he was at Casino.
"The patient's outward condition did not give cause for major concern," Ms Fletcher said. "Only when the patient's observations began to alter did the medical officer decide it was necessary to transfer the patient to Lismore Base Hospital for further assessment."
Despite the close observation and despite Ms Randall's persistence, it was not until 8.30pm that Rhys was transferred to Lismore Base Hospital for a detailed examination; but his reception there was no better than the one he got in his home town.
By the time Ms Randall reached the hospital, Rhys had already been put on the floor with a thin white blanket strewn over him. At that point he was drifting in and out of consciousness and Ms Randall said he did not appear aware of what was happening around him.
"I don't know if it was the ambulance staff or the hospital that put him on the floor," Ms Randall said.
"There were beds available because there was another woman come in from Casino after us and she got a bed. They obviously thought it (Rhys' condition) wasn't that bad."
This is not the first incident of its kind. It is past time for the North Coast Area Health Service to get its act together and deliver a decent service for everyone living in this region.
I have long been disturbed by the strong hint of inherent racism within the public health system, the indifference frequently displayed to individuals at the bottom of the local socio-economic scale, the moral judgements which flourish, and the marked bias of some staff doctors and private GPs working within the hospital system who appear to see themselves as gate keepers first and medicos second.
It is becoming increasingly apparent that a Northern Rivers resident is more likely to receive prompt, comprehensive assessment and vigorous, effective treatment if he/she is white, reasonably affluent, articulate, established in the community and visibly supported by family.
For everyone else regional health care is becoming something of a lottery.
"I got there half an hour later and they said 'he's right to go home'; but I persisted because I knew he was not alright," Ms Randall said.
North Coast Area Health Service clinical operations executive director Denice Fletcher rejected suggestions staff at the Casino and later Lismore hospitals did not take Rhys' condition seriously, saying he was kept under close observation in the emergency department while he was at Casino.
"The patient's outward condition did not give cause for major concern," Ms Fletcher said. "Only when the patient's observations began to alter did the medical officer decide it was necessary to transfer the patient to Lismore Base Hospital for further assessment."
Despite the close observation and despite Ms Randall's persistence, it was not until 8.30pm that Rhys was transferred to Lismore Base Hospital for a detailed examination; but his reception there was no better than the one he got in his home town.
By the time Ms Randall reached the hospital, Rhys had already been put on the floor with a thin white blanket strewn over him. At that point he was drifting in and out of consciousness and Ms Randall said he did not appear aware of what was happening around him.
"I don't know if it was the ambulance staff or the hospital that put him on the floor," Ms Randall said.
"There were beds available because there was another woman come in from Casino after us and she got a bed. They obviously thought it (Rhys' condition) wasn't that bad."
This is not the first incident of its kind. It is past time for the North Coast Area Health Service to get its act together and deliver a decent service for everyone living in this region.
I have long been disturbed by the strong hint of inherent racism within the public health system, the indifference frequently displayed to individuals at the bottom of the local socio-economic scale, the moral judgements which flourish, and the marked bias of some staff doctors and private GPs working within the hospital system who appear to see themselves as gate keepers first and medicos second.
It is becoming increasingly apparent that a Northern Rivers resident is more likely to receive prompt, comprehensive assessment and vigorous, effective treatment if he/she is white, reasonably affluent, articulate, established in the community and visibly supported by family.
For everyone else regional health care is becoming something of a lottery.
Labels:
accountability,
Australian society,
ethics,
health,
hospitals
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