{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:21:25Z","timestamp":1793118085660,"version":"4.5.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"MRFF","award":["2017915"],"award-info":[{"award-number":["2017915"]}],"id":[{"id":"https:\/\/ror.org\/0513v5k17","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examines disparities in rates and number of telehealth used among Indigenous Medicare mental health services users in Southeast Queensland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analysed the 2021 Census and Medicare Benefits Schedule data for 298,283 individuals who used MBS-subsidised community mental health services, including 78,048 who used telehealth. Descriptive and regression analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Indigenous Australians were significantly less likely to use telehealth than non-Indigenous Australians (24.66% vs 26.23%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), although difference was small. Video-based telehealth was associated with a significantly greater increase in service use for non-Indigenous Australians than Indigenous Australians (coefficient\u2009=\u2009\u22120.76,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Indigenous adults who were female, aged 25\u201369, or not in the labour force were more likely to use telehealth, while number of telehealth services used was higher among those aged 40+, those who did not speak an Aboriginal language at home, and those receiving psychotherapies or video-based services. Indigenous children aged 12\u201317\u2009years and those living in the Gold Coast Hospital and Health Service region were more likely to use telehealth, while greater telehealth utilisation was associated with psychotherapies and video services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Compared with non-Indigenous Australians, Indigenous Australians were less likely to use telehealth services, particularly for video services and psychotherapies, more likely to rely on general practitioner\u2013delivered services and phone consultations. These patterns suggest systemic and cultural barriers, including cost, service availability, and preferences. Tailored telehealth interventions are needed to address these disparities and promote equitable utilisation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261470271","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T10:23:53Z","timestamp":1786098233000},"page":"952-966","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Disparities in the use of Medicare-subsidised telehealth mental health services by Aboriginal and Torres Strait Islander Australians in Southeast Queensland"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3903-4166","authenticated-orcid":false,"given":"Xiaoyun","family":"Zhou","sequence":"first","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"School of Public Health, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony C.","family":"Smith","sequence":"additional","affiliation":[{"name":"Centre for Online Health, The University of Queensland, Brisbane, Australia"},{"name":"Centre for Health Services Research, The University of Queensland, Brisbane, Australia"},{"name":"Hans Christian Andersen Children\u2019s Hospital, Odense University Hospital, Denmark"},{"name":"Centre for Innovative Medical Technology, University of Southern Denmark, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel","family":"Nelson","sequence":"additional","affiliation":[{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"},{"name":"Poche Centre for Indigenous Health, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Suetani","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"},{"name":"Queensland Brain Institute, The University of Queensland, Brisbane, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall","family":"Frazer (Bidjara Nation)","sequence":"additional","affiliation":[{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamsyn","family":"Borton","sequence":"additional","affiliation":[{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7943-3809","authenticated-orcid":false,"given":"Rayno","family":"Potgieter","sequence":"additional","affiliation":[{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4667-5049","authenticated-orcid":false,"given":"Tabinda","family":"Basit","sequence":"additional","affiliation":[{"name":"School of Psychology, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley","family":"Williams (Gamilaroi Nation)","sequence":"additional","affiliation":[{"name":"Poche Centre for Indigenous Health, Brisbane, QLD, Australia"},{"name":"School of Psychology, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[{"name":"School of the Environment, The University of Queensland, Brisbane, Australia"},{"name":"Department of Geography and Resource Management, The Chinese University of Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihong","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of the Environment, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang-Yu","family":"Hou","sequence":"additional","affiliation":[{"name":"Broken Hill University Department of Rural Health, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxanne","family":"Bainbridge (Gunggari\/Kunja Nations)","sequence":"additional","affiliation":[{"name":"Centre of Excellence for Indigenous Futures, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harvey","family":"Whiteford","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, 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