Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary

Abstract Background Developing since colonisation, Australia's healthcare system has dismissed an ongoing and successful First Nations health paradigm in place for 60,000 years. From Captain James Cook documenting ‘very old’ First Nations Peoples being ‘far more happier than we Europeans'...

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Main Authors: James M. Gerrard, Shirley Godwin, Vivienne Chuter, Shannon E. Munteanu, Matthew West, Fiona Hawke
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Foot and Ankle Research
Subjects:
Online Access:https://doi.org/10.1186/s13047-021-00466-8
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author James M. Gerrard
Shirley Godwin
Vivienne Chuter
Shannon E. Munteanu
Matthew West
Fiona Hawke
author_facet James M. Gerrard
Shirley Godwin
Vivienne Chuter
Shannon E. Munteanu
Matthew West
Fiona Hawke
author_sort James M. Gerrard
collection DOAJ
description Abstract Background Developing since colonisation, Australia's healthcare system has dismissed an ongoing and successful First Nations health paradigm in place for 60,000 years. From Captain James Cook documenting ‘very old’ First Nations Peoples being ‘far more happier than we Europeans' and Governor Arthur Phillip naming Manly in admiration of the physical health of Gadigal men of the Eora Nation, to anthropologist Daisy Bates' observation of First Nations Peoples living ‘into their eighties' and having a higher life expectancy than Europeans; our healthcare system's shameful cultural safety deficit has allowed for an Aboriginal and Torres Strait Islander child born in Australia today to expect to live 9 years less than a non‐Indigenous child. Disproportionately negative healthcare outcomes including early onset diabetes‐related foot disease and high rates of lower limb amputation in Aboriginal and Torres Strait Islander Peoples contribute to this gross inequity. Main body In 2020, the Australian Health Practitioner Regulation Authority released the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020–2025 ‐ empowering all registered health practitioners within Australia to provide health care to Aboriginal and Torres Strait Islander Peoples that is inclusive, respectful and safe, as judged by the recipient of care. This recently released strategy is critically important to the podiatry profession in Australia. As clinicians, researchers and educators we have a collective responsibility to engage with this strategy of cultural safety. This commentary defines cultural safety for podiatry and outlines the components of the strategy in the context of our profession. Discussion considers the impact of the strategy on podiatry. It identifies mechanisms for podiatrists in all settings to facilitate safer practice, thereby advancing healthcare to produce more equitable outcomes. Conclusion Aboriginal and Torres Strait Islander Peoples access health services more frequently and have better health outcomes where provision of care is culturally safe. By engaging with the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy, all registered podiatrists in Australia can contribute to achieving equity in health outcomes for Aboriginal and Torres Strait Islander Peoples.
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spelling doaj.art-fa02d2b04f834632970ddaa3c3403c2f2024-02-07T15:10:48ZengWileyJournal of Foot and Ankle Research1757-11462021-01-01141n/an/a10.1186/s13047-021-00466-8Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentaryJames M. Gerrard0Shirley Godwin1Vivienne Chuter2Shannon E. Munteanu3Matthew West4Fiona Hawke5College of Health, Medicine and WellbeingSchool of Health SciencesUniversity of Newcastle2258OurimbahNSWAustraliaRural Department of Nursing & MidwiferyLa Trobe Rural Health SchoolLa Trobe UniversityPO Box 199, 3552BendigoAustraliaCollege of Health, Medicine and WellbeingSchool of Health SciencesUniversity of Newcastle2258OurimbahNSWAustraliaDiscipline of PodiatrySchool of Allied HealthHuman Services and SportLa Trobe University3086MelbourneAustraliaCollege of Health, Medicine and WellbeingSchool of Health SciencesUniversity of Newcastle2258OurimbahNSWAustraliaCollege of Health, Medicine and WellbeingSchool of Health SciencesUniversity of Newcastle2258OurimbahNSWAustraliaAbstract Background Developing since colonisation, Australia's healthcare system has dismissed an ongoing and successful First Nations health paradigm in place for 60,000 years. From Captain James Cook documenting ‘very old’ First Nations Peoples being ‘far more happier than we Europeans' and Governor Arthur Phillip naming Manly in admiration of the physical health of Gadigal men of the Eora Nation, to anthropologist Daisy Bates' observation of First Nations Peoples living ‘into their eighties' and having a higher life expectancy than Europeans; our healthcare system's shameful cultural safety deficit has allowed for an Aboriginal and Torres Strait Islander child born in Australia today to expect to live 9 years less than a non‐Indigenous child. Disproportionately negative healthcare outcomes including early onset diabetes‐related foot disease and high rates of lower limb amputation in Aboriginal and Torres Strait Islander Peoples contribute to this gross inequity. Main body In 2020, the Australian Health Practitioner Regulation Authority released the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020–2025 ‐ empowering all registered health practitioners within Australia to provide health care to Aboriginal and Torres Strait Islander Peoples that is inclusive, respectful and safe, as judged by the recipient of care. This recently released strategy is critically important to the podiatry profession in Australia. As clinicians, researchers and educators we have a collective responsibility to engage with this strategy of cultural safety. This commentary defines cultural safety for podiatry and outlines the components of the strategy in the context of our profession. Discussion considers the impact of the strategy on podiatry. It identifies mechanisms for podiatrists in all settings to facilitate safer practice, thereby advancing healthcare to produce more equitable outcomes. Conclusion Aboriginal and Torres Strait Islander Peoples access health services more frequently and have better health outcomes where provision of care is culturally safe. By engaging with the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy, all registered podiatrists in Australia can contribute to achieving equity in health outcomes for Aboriginal and Torres Strait Islander Peoples.https://doi.org/10.1186/s13047-021-00466-8Cultural safetyAboriginal and Torres Strait IslanderFirst NationsIndigenousPodiatry
spellingShingle James M. Gerrard
Shirley Godwin
Vivienne Chuter
Shannon E. Munteanu
Matthew West
Fiona Hawke
Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary
Journal of Foot and Ankle Research
Cultural safety
Aboriginal and Torres Strait Islander
First Nations
Indigenous
Podiatry
title Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary
title_full Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary
title_fullStr Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary
title_full_unstemmed Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary
title_short Release of the National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020‐2025; the impacts for podiatry in Australia: a commentary
title_sort release of the national scheme s aboriginal and torres strait islander health and cultural safety strategy 2020 2025 the impacts for podiatry in australia a commentary
topic Cultural safety
Aboriginal and Torres Strait Islander
First Nations
Indigenous
Podiatry
url https://doi.org/10.1186/s13047-021-00466-8
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