Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Macquarie University, 6 First Walk, Sydney, NSW , 2109, Australia.
Indigenous Studies & Aboriginal Education, The University of Sydney, Education Building (A36), Sydney, NSW, 2006, Australia.
Int J Equity Health. 2023 Jul 5;22(1):129. doi: 10.1186/s12939-023-01941-3.
To evaluate if existing Australian public policy related to screening, diagnosis, treatment and follow up care for breast cancer addresses the needs of and outcomes for Indigenous women?
This review of policy employed a modified Delphi method via an online panel of experts (n = 13), who were purposively recruited according to experience and expertise. A series of online meetings and online surveys were used for data collection. The aims of the study were to: Identify all existing and current breast cancer policy in Australia; Analyse the extent to which consideration of Indigenous peoples is included in the development, design and implementation of the policy; and Identify policy gaps and make recommendations as to how they could be addressed. The policies were evaluated using 'A Guide to Evaluation under the Indigenous Evaluation Strategy, 2020'.
A list of current breast cancer policies (n = 7) was agreed and analysed. Five draft recommendations to improve breast cancer outcomes for Indigenous women were developed and refined by the panel.
Current breast cancer policy in Australia does not address the needs of Indigenous women and requires change to improve outcomes.
评估澳大利亚现有的与乳腺癌筛查、诊断、治疗和随访相关的公共政策是否满足并改善了原住民女性的需求和结局？
本研究通过在线专家小组（n=13）对政策进行了回顾，专家小组是根据经验和专业知识有针对性地招募的。使用一系列在线会议和在线调查进行数据收集。本研究的目的是：确定澳大利亚现有的所有乳腺癌政策；分析在政策的制定、设计和实施过程中，对原住民的考虑程度；并确定政策差距，并就如何解决这些差距提出建议。使用“2020 年原住民评估策略评估指南”对政策进行评估。
专家组同意并分析了当前乳腺癌政策的清单。小组制定并完善了 5 项改善原住民女性乳腺癌结局的建议草案。
澳大利亚现有的乳腺癌政策没有考虑到原住民女性的需求，需要进行改革以改善结局。
