If we're going to make any progress in closing the gap in Indigenous health outcomes, we're going to have to start addressing the gap that currently exists between the policies and procedures institutions put in place around cultural safety, and their practices and the lived experiences of
Indigenous people in our hospitals and health services.
Not exact matches
For instance, Edward Poitras's Vita Brevis (1992), a coyote sculpted from bones, braying beneath hanging circuit boards and radio parts, is flanked by Kader Attia's Colonial Modernity: the first mass
in Brazil and Algeria (2014), a diptych of replicated 19th - century colonial paintings, and Paulo Nazareth's Anthropology of black II (2014), a stark black and white video shot at the
Hospital Colônia
in Brazil where society's «undesirables», largely
people of
Indigenous and African descent, were tortured through the 20th century until its closure
in 1980.
The relatively low number of
Indigenous staff
in some services, especially
in large urban areas, adds to
Indigenous insecurities
in using mainstream services; (vi) Legacies of history and unpleasant previous experiences with mainstream services can reduce
Indigenous use of facilities; (vii) Some mainstream services are delivered
in ways that make
Indigenous people feel uncomfortable, that is, services are not culturally appropriate or culturally secure; and (viii) There may be poor links between complementary services, for example between training institutions and employment facilities, or between primary health providers and
hospitals or ancillary health services.
Meanwhile, writing on Croakey, Colleen Lavelle outlines 10 ways everyone can help to close the gap, including employing more
Indigenous hospital liaison officers and employing more
Indigenous people across the entire health sector, while the issue of obesity
in Australia's remote
Indigenous communities and the struggle to eat well against the odds, is explored
in this JournalWatch article.
As well as seeking approval from the ethics committee of the academic institution or
hospital where the research will take place, the National Health and Medical Research Council (NHMRC) stipulates that for Aboriginal health research, the ethics approval process must include an assessment by, or advice from,
people who have connections with Aboriginal and Torres Strait Islander
peoples or knowledge of research
in the area, and who are familiar with the culture and practices of
Indigenous participants
in the study.9 Most states and territories have their own dedicated ethics committee for Aboriginal health research proposals (Box 2).
Hospital admissions Around one in six Indigenous people (16 %) had been admitted to hospital in the 12 months prior to the 2004 - 05 survey (t
Hospital admissions Around one
in six
Indigenous people (16 %) had been admitted to
hospital in the 12 months prior to the 2004 - 05 survey (t
hospital in the 12 months prior to the 2004 - 05 survey (table 1).
However, the ABS acknowledges that non-sampling errors due to the large level of undercoverage
in the 2008 NATSISS may introduce bias, if, for example, the estimated 31 % of
Indigenous people screened
in areas other than discrete
Indigenous communities who did not identify as
Indigenous were different from those who did identify and so could participate.16 Similarly, those excluded from the sample because they were not usual residents of private dwellings (eg, visitors and
people in hostels, caravan parks, prisons or
hospitals) may have responded differently to those who were included.
First, there is an incomplete identification of
Indigenous people in census data (i.e.
people not identifying) as well as
in administrative data (i.e.
hospital records).