Preisz Paul, Preisz Anne
Emergency Department, St Vincent's Hospital, Sydney, New South Wales, Australia.
School of Medicine, University of Notre Dame, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2020 Dec;56(12):1848-1850. doi: 10.1111/jpc.15128. Epub 2020 Sep 4.
Black lives 'mattering' should mean intrinsically supporting feasible healthcare options for Aboriginal and Torres Strait Islander people. This requires reimagining outmoded, 'neo-colonial' type models of care with implicit prejudice in hospital emergency departments (EDs). Equitably serving the needs of vulnerable cohorts like First Nations people that currently suffer most from lack of access to suitable healthcare is incumbent on government and society. To 'close the gap' for Aboriginal people, flexible treatment options should be designed with and for indigenous communities; developing models of care that will improve Aboriginal patient's attendance and completion of treatment in emergency departments. Flexiclinic, jointly developed by the Aboriginal Liaison Service and St Vincent's Hospital ED has developed such an innovative model. Since its recent inception, it has already shown enormous benefits, both in promoting equitable access and improving the health and welfare of Aboriginal patients who are receiving ongoing and quality care.
黑人的命“重要”应该意味着从本质上支持为原住民和托雷斯海峡岛民提供可行的医疗选择。这需要重新构想医院急诊科中存在隐性偏见的过时的“新殖民”式护理模式。政府和社会有责任公平地满足像原住民这样目前最缺乏获得适当医疗服务机会的弱势群体的需求。为了缩小原住民的差距，应该与原住民社区共同设计并为其设计灵活的治疗方案；开发能够提高原住民患者在急诊科就诊率和治疗完成率的护理模式。由原住民联络服务机构和圣文森特医院急诊科联合开发的灵活诊所就开发了这样一种创新模式。自最近成立以来，它已经显示出巨大的益处，既促进了公平就医，又改善了正在接受持续优质护理的原住民患者的健康和福祉。
