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Addressing surgical inequity for Aboriginal and Torres Strait Islander people in Australia's universal health care system: a call to action
Author(s) -
O'Brien Penny,
Bunzli Samantha,
Lin Ivan,
Bessarab Dawn,
Coffin Juli,
Dowsey Michelle M.,
Choong Peter F. M.
Publication year - 2021
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.16557
Subject(s) - call to action , health care , nursing , medicine , health equity , narrative , public relations , political science , public health , business , advertising , philosophy , linguistics , law
Abstract Aboriginal and Torres Strait Islander people continue to experience health inequity within the Australian health care system. Little research has examined how disparities in surgical care access and outcomes contribute to Aboriginal health. In this narrative review and call to action, we discuss five care points along the journey to high‐quality surgical care: health care seeking, primary health care services, specialist services, surgery and surgical outcomes. We highlight barriers and disparities that exist along this journey, drawing examples from the field of joint replacement surgery. Finally, we present opportunities for change at the health system, health service and clinician level, calling upon researchers, clinicians and policy makers to confront the surgical disparities experienced by Aboriginal and Torres Strait Islander people.