Brown Alex, O'Shea Rebekah L, Mott Kathy, McBride Katharine F, Lawson Tony, Jennings Garry L R
South Australian Health and Medical Research Institute (SAHMRI). PO Box 11060, Adelaide SA 5001; School of Population Health, University of South Australia; Baker IDI Heart and Diabetes Institute. PO Box 6492, St Kilda Road Central, Victoria 8008.
South Australian Health and Medical Research Institute (SAHMRI). PO Box 11060, Adelaide SA 5001; School of Population Health, University of South Australia.
Heart Lung Circ. 2015 Feb;24(2):126-41. doi: 10.1016/j.hlc.2014.09.021. Epub 2014 Oct 22.
Cardiovascular diseases (CVD) constitute the largest cause of death for Aboriginal and Torres Strait Islander people and remain the primary contributor to life expectancy differentials between Aboriginal and Torres Strait Islander and non-Indigenous Australians. As such, CVD remains the most critical target for reducing the life expectancy gap. The Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander people (ESSENCE) outline elements of care that are necessary to reduce disparity in access and outcomes for five critical cardiovascular conditions. The ESSENCE approach builds a foundation on which the gap in life expectancy between Aboriginal and Torres Strait Islander and non-Indigenous Australians can be reduced. The standards purposefully focus on the prevention and management of CVD extending across the continuum of risk and disease. Each of the agreed essential service standards are presented alongside the most critical targets for policy development and health system reform aimed at mitigating population disparity in CVD and related conditions.
心血管疾病（CVD）是原住民和托雷斯海峡岛民的首要死因，并且仍然是导致原住民和托雷斯海峡岛民与非原住民澳大利亚人预期寿命差异的主要因素。因此，心血管疾病仍然是缩小预期寿命差距的最关键目标。《原住民和托雷斯海峡岛民公平全国心血管护理基本服务标准》（ESSENCE）概述了针对五种关键心血管疾病减少获得护理机会和治疗结果方面差距所需的护理要素。ESSENCE方法奠定了一个基础，据此可以缩小原住民和托雷斯海峡岛民与非原住民澳大利亚人之间的预期寿命差距。这些标准有意侧重于贯穿风险和疾病连续统一体的心血管疾病的预防和管理。每项商定的基本服务标准都与旨在减轻心血管疾病及相关病症人群差异的政策制定和卫生系统改革的最关键目标一同列出。
