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Connections Reduce Rheumatic Heart Disease-Related Mortality in Western Australia: A Mixed Methods Study.

Virginia DeCourcy1, Daniel Hunt2, Ingrid Stacey3

  • 1WA Country Health Service, Perth, Australia.

The Australian Journal of Rural Health
|March 10, 2025
PubMed
Summary
This summary is machine-generated.

Systemic failures contribute to preventable rheumatic heart disease (RHD) deaths in Western Australia. Improving RHD care requires addressing access barriers and supporting healthcare providers to connect patients effectively.

Keywords:
Aboriginal and Torres Strait Islander healthcardiovascular diseaserheumatic heart disease

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Area of Science:

  • Public Health
  • Cardiovascular Disease Epidemiology
  • Health Services Research

Background:

  • Rheumatic heart disease (RHD) remains a significant cause of preventable mortality in Australia, disproportionately affecting Aboriginal populations.
  • Despite existing guidelines and research, systemic failures persist in RHD prevention and treatment, as indicated by recent coronial inquests.
  • There is a lack of specific data on RHD service delivery and mortality within Western Australia (WA).

Purpose of the Study:

  • To integrate quantitative RHD mortality data (2012-2021) with qualitative insights in WA.
  • To identify system-level interventions for preventing RHD-related deaths within the WA healthcare system.

Main Methods:

  • Quantitative analysis of the WA RHD register for patients under 65, stratified by vital status.
  • Thematic qualitative analysis of RHD stakeholder interviews to identify systemic factors influencing mortality.

Main Results:

  • Sixty RHD deaths in WA showed limited documented health service contact.
  • Interviewees highlighted the critical role of accessible, appropriate care in preventing RHD mortality.
  • Barriers including logistical, socio-cultural, and care quality issues impede patient-provider connections, despite dedicated healthcare professionals.

Conclusions:

  • Systemic changes are essential in WA to support healthcare providers and reduce RHD mortality.
  • RHD program design must prioritize patient-provider connections and resource providers for effective patient engagement.