Closing the gap in Indigenous health inequity - Is it making a difference?
Closing the gap in Indigenous health inequity - Is it making a difference?
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DOI：
10.1111/inr.12436
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发表时间：
2018-12-01
影响因子：
4.1
通讯作者：
Anderson, J.
中科院分区：
文献类型：
--
作者：
Deravin, L.;Francis, K.;Anderson, J.
目的本文将审查澳大利亚政府政策文件中确定的目标，俗称“缩小差距”的进展情况，并研究护士在支持其实施的作用。澳大利亚并不是唯一一个寻求解决土著人与非土著人之间健康不平等问题的国家。在全球范围内，这种卫生不公平现象是相似的，需要政府与卫生和教育系统共同支持的干预措施，以实现预期的变化。因此，审查缩小差距倡议的影响的进展情况是及时的。证据来源澳大利亚国家伙伴关系协议以及随后在2010年至2017年期间发布的年度业绩报告。澳大利亚政府国家伙伴关系协议中设定的目标取得了一系列成功。那些没有走上轨道的目标需要大量的长期投资才能确保其成功。护士作为一个庞大的专业群体，是有力的倡导者，可以大声疾呼，支持影响弱势社会群体的政策变革。长期的社会变革需要时间，但是，如果澳大利亚政府不通过有效的政策和经济支持作出承诺，土著人民健康方面的不平等现象现在和将来都将继续存在。护士作为最大的卫生专业群体，在各级卫生保健（初级、二级和三级）支持和实施社会变革，并游说政府与那些被剥夺权力的人一起修改政策方面具有独特的地位。护理实践的影响健康促进和教育计划，由护士领导，可以影响健康的差距群体谁是最危险的。
Aim This paper will review progress towards the identified targets within the Australian government policy document commonly known as 'Closing the Gap' and examine the role of nurses in supporting its implementation. Background Australia is not alone in seeking to address the health inequity between Indigenous and non-Indigenous people. Globally such health inequities are similar and require interventions supported by governments in conjunction with health and education systems to affect desired change. For this reason, it is timely to undertake a review of progress on the impact of the Closing the Gap initiative. Sources of evidence The Australian national partnership agreement and subsequent annual performance reports issued between 2010 and 2017. Discussion Targets set within the Australian government national partnership agreement have had a range of success. Those targets not on track require significant long-term investment to ensure their success. Nurses as a large professional group are powerful advocates to speak up and support policy change that affects disempowered social groups. Conclusion Long-term social change takes time, yet without the commitment of Australian Governments through effective policy and economic support, the inequity in the health of Indigenous people will continue both now and in the future. Implications for health and social policy Nurses, as the largest health professional group, are uniquely placed to support and implement social change at all levels of health care (primary, secondary and tertiary) and to lobby government to amend policy alongside those who are disempowered. Implications for nursing practice Health promotion and education programmes that are led by nurses can make an impact to health disparities within groups who are most at risk.