Closing the Gap

This issue of The Health Advocate is dedicated to closing the health equity gap experienced by First Nations Australians, and how entities within the health system are contributing towards this vital goal. We also want to amplify and raise up First Nations voices and organisations, sharing their work, views and experiences, as this is an integral part of the journey if we are to successfully ‘Close the Gap’.

It is well-established that Aboriginal and Torres Strait Islander people face considerable health inequities. Aboriginal Community Controlled Health Organisations were established as a result of mainstream health services not effectively engaging Aboriginal communities with their services. They have the objective of delivering holistic, comprehensive and culturally appropriate health care to the community which controls it.

However, improving cultural respect and safety for Aboriginal and Torres Strait Islander health care users also requires the whole health system to respect Indigenous cultural values, strengths and differences, and address racism and inequity. In supporting access to health care, mainstream services require attention both to how care is provided and how care is experienced.

The cases reflected in these articles emphasise the importance of understanding the experiences of Aboriginal and Torres Strait Islander people, implementing open communications with family and community, and focusing on models of care that are inclusive and empowering.

These are journeys of continued improvement. Together we must support and listen to maximise the impact of research that is built on the priorities identified by Aboriginal and Torres Strait Islander people.