Journal article

Addressing surgical inequity for Aboriginal and Torres Strait Islander people in Australia's universal health care system: a call to action

Penny O'Brien, Samantha Bunzli, Ivan Lin, Dawn Bessarab, Juli Coffin, Michelle M Dowsey, Peter FM Choong

ANZ JOURNAL OF SURGERY | WILEY | Published : 2021

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, ..

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Grants

Awarded by PhD scholarship offered through the Australian National Health and Medical Research Council Centre for Research Excellence in Total Joint Replacement


Awarded by Australian National Health and Medical Research Council Career Development Fellowship


Awarded by Australian National Health and Medical Research Council Practitioner Fellowship


Funding Acknowledgements

The authors are a group of Aboriginal and non-Aboriginal clinicians and researchers with expertise in orthopaedic surgery, osteoarthritis and musculoskeletal health and cultural security. The authors have neither conflicts of interest nor conflicts relating to financial support or other benefits from commercial sources for the work presented in this manuscript. This publication was supported by a PhD scholarship offered through the Australian National Health and Medical Research Council Centre for Research Excellence in Total Joint Replacement (APP1116235). MMD is supported by an Australian National Health and Medical Research Council Career Development Fellowship (APP1122526) and PFMC is supported by an Australian National Health and Medical Research Council Practitioner Fellowship (APP1154203).