Aust Fam Physician
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This study investigated the reasons for low uptake of Medicare Benefits Schedule rebated health assessments for Aboriginal people and Torres Strait Islanders in mainstream general practice in the Australian Capital Territory region. ⋯ Barriers to the uptake of health assessments include low levels of routine identification of Aboriginal and Torres Strait Islander patients, little awareness of Aboriginal and Torres Strait Islander specific GP mediated health interventions, and lack of support for preventive health interventions targeted on the basis of Aboriginal and or Torres Strait Islander status. Poor uptake is likely to persist without a more strategic approach to overcoming these barriers.
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The terms 'cultural safety' and 'cultural competence' are used widely in indigenous and culturally and linguistically diverse health contexts. They form the basis for effective patient centred care and the professional advocacy role of the general practitioner. ⋯ Cultural safety is the experience of the recipient of care. It is comparable to clinical safety, allowing the patient to feel safe in health care interactions and be involved in changes to health services. It has been suggested that cultural safety training may be one mechanism to reduce disparities in indigenous health status. Cultural competence is a broader term that focuses on the capacity of the health system to improve health and wellbeing by integrating culture into the delivery of health services.
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On 24 March 2008, Prime Minister Kevin Rudd, the leader of the Federal Opposition, and health sector leaders signed a pledge to close the indigenous health gap by 2030 and the equity gap in health service provision by 2018. This is a big challenge - Indigenous Australians have a life expectancy 17 years less than non-Indigenous Australians and a burden of disease 2.5 times higher.