Considering difference: clinician insights into providing equal and equitable burns care for Aboriginal and Torres Strait Islander children

Julian Grant, Sarah Fraser, Tamara Mackean, Kate Hunter, Ngara Keeler, Kathleen Clapham, Dale W Edgar, Kurt Towers, Warwick Teague, Rebecca Ivers

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To better understand issues driving quality in burn care related to equity of
outcomes and equality of provision for Aboriginal and Torres Strait Islander children.
Methods: Seventy-six interviews with team members who provide care for Aboriginal and
Torres Strait Islander children in six paediatric burn units across five Australian jurisdictions
were completed. Interface research methodology within a qualitative design guided data
collection and analysis.
Results: Three themes were identified: i) Burn team members who identify the requirement to
meet the specific needs of Aboriginal and Torres Strait Islander children and deliver differential
care; ii) Burn team members who believe in equal care, but deliver differential care based on
the specific needs of Aboriginal and Torres Strait Islander children; and iii) Burn team members
who see little need for provision of differential care for Aboriginal and Torres Strait Islander
children and rather, value the provision of equal care for all.
Conclusion: Burn team members conflate equitable and equal care, which has implications for
the delivery of care for Aboriginal and Torres Strait Islander children. Equitable care is needed to
address disparities in post-burn outcomes, and this requires clinicians, healthcare services and
relevant system structures to work coherently and intentionally to reflect these needs.
Implications for public health: Changes in health policy, the embedding of Aboriginal and
Torres Strait Islander liaison officers in burn care teams and systems that prioritise critical
reflexive practice are fundamental to improving care.
Original languageEnglish
Pages (from-to)1
Number of pages7
JournalAustralian and New Zealand Journal of Public Health
Publication statusAccepted/In press - 21 Mar 2021

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