The Surgical Care of Indigenous Australians: A Structured Orientation Programme

Gruen, Russell L.; Tesimale, Louisa; Kong, Kelvin; Clarke, Matthew; Jacobs, Sue C.; Ollapallil, Jacob; Chenia, Feisal; Iersel, Eileen van; O’Brien, Margaret

doi:10.1111/j.1445-2197.2007.04284.x

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Aboriginal people have lower access to specialist medical care, and hence surgery than non‐Aboriginal Australians 40,41 . Accessing specialist services is an essential component to the timely diagnosis and referral of patients who may benefit from a surgical procedure.…”

Section: The Pathway To High‐quality Surgical Carementioning

confidence: 99%

“…Aboriginal people that undergo surgical treatment, are younger, present at more advanced stages of disease and experience higher rates of post‐operative morbidity and mortality 5,6,40,62,63 . These poor health outcomes can reinforce distrust in clinicians and services and further hamper a willingness to seek health care.…”

Section: The Pathway To High‐quality Surgical Carementioning

confidence: 99%

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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

O’Brien

Bunzli

Lin

et al. 2021

ANZ Journal of Surgery

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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.

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Section: The Pathway To High‐quality Surgical Carementioning

confidence: 99%

Section: The Pathway To High‐quality Surgical Carementioning

confidence: 99%

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

O’Brien

Bunzli

Lin

et al. 2021

ANZ Journal of Surgery

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“…Elsewhere in this issue of the Journal we propose a conceptual model for considering the public roles of surgeons in Indigenous health that takes into consideration the barriers Indigenous people face in accessing care, the social, political and environmental causes of ill-health and the challenges caused by differing perspectives on health and medical care. 2 These issues are portrayed as concentric domains representing their relations to surgeons' clinical care responsibilities. The model is based on evidence showing the association of illness (intentional injury, for example) with cultural, behavioural, social and environmental factors (such as alcohol abuse, unemployment and poverty).…”

mentioning

confidence: 99%

Injury in Indigenous Communities: A Call for Enlightened Action

Gruen

2007

ANZ Journal of Surgery

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What can surgeons do to address the suffering caused by injury in Australian Aboriginal communities? The answer lies in two areas in which surgeons excel -patient care and community and workplace leadership. In their article regarding the epidemic of stab injuries seen at Alice Springs Hospital, Jacob, Boseto and Ollapillil emphasize the importance of these dual roles. 1 As surgeons, first and foremost, we are tasked with the victims' resuscitation and haemorrhage control, visceral repair and we operate to restore structure and function. We break bad news and we comfort our patients and their families. We coordinate other clinicians and we foster recovery and rehabilitation.Caring for victims of interpersonal violence can be confronting and complex, especially in a cross-cultural setting where there are communication difficulties. Consider, for example, Mary (not her real name), a quiet and withdrawn Aboriginal woman whom I recall limping into a remote community clinic bent over, clutching her abdomen and cradling an injured forearm. She had often presented with beatings after closing time at the club and had previously undergone surgery for burns, fractures, lacerations and an intracranial bleeding. However, her nights spent at a women's refuge centre had always seen her return home to her abusive husband. Her courage in doing so was only matched by her mistrust of

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