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INDIGENOUS HEALTH POSITION PAPERFocussing on education for both professional and community groups provides opportunities to addressboth the prevention and treatment of disease and injury, and ensures the general public is betterinformed on Indigenous health issues.5.3 Healthcare InfrastructureTo ensure that the needs of the Indigenous community are being met the College advocates for thedevelopment and implementation of culturally appropriate, accessible and sustainable healthcareservices and measures. Emphasis should be on servicing of community needs in collaboration withthose communities.While the College recognises the right of every Australian and New Zealand resident to receive properlyresourced healthcare, it also recognises that the situation for Indigenous communities is significantlybelow the standard that should be accepted..The College supports a sustainable and co-ordinated healthcare response that adopts culturallyappropriate strategies to address physical, socio-economic and cultural barriers currently present in thedelivery of health care services.5.4 Socio-economic inhibitors of acceptable Indigenous health outcomesThe social determinants of health underlie the wellness or otherwise of the individual and his\hercommunity. These factors are compounded in Indigenous populations by the multigenerational grief,loss and trauma associated with low self esteem, colonisation, the stolen generation in Australia, manylayers of racism, discrimination, and cultural dislocation. The College recognises that ‘closing the gap’ isimperative if disparities in life expectancy are to be addressed.In New Zealand, the obligations and requirements that arise from the Treaty of Waitangi are active inmany aspects of present day New Zealand life, including the delivery of health, education, social, housingand justice services and a vast number of what might loosely be termed social development issues andinitiative. All of these are relevant to issues of indigenous health and that makes the current status of theTreaty very relevant to this Statement.6. REFERENCESRoyal Australasian College of SurgeonsManual:Division:Subject:Guidelines and Position PapersFellowship and StandardsINDIGENOUS HEALTH POSITION PAPERRef. No.:Approval Date:Review Date:FES_FEL_001June 2009June 2012Page 8 of 9
INDIGENOUS HEALTH POSITION PAPER1Australian Institute of Health and Welfare http://www.aihw.gov.au/indigenous/health/mortality.cfm2 Maori Health, New Zealand Government http://www.maorihealth.govt.nz/moh.nsf/indexma/health-s tatus-indicators3 Australian Indigenous HealthInfoNet. http://www.healthinfonet.ecu.edu.au4Archives New Zealand (accessed September 2008). Treaty of Waitangi - Te Tiriti o Waitangi.http://www.archives.govt.nz/exhibitions/permanentexhibitions/treaty.php5 Productivity Commission, Australia. Overcoming Indigenous Disadvantage, Key Indicators 2005 Report.http://www.humanrights.gov.au/social_justice/conference/index.html6 Statistics New Zealand Tatauranga Aotearoa (2006). Latest statistics. http://www.stats.govt.nz/default.htm(Accessed 9 October 2008).7 Hayman N (2003). Improving Indigenous access to a mainstream general practice. National Rural Health Alliance7th National Rural Health Conference, Tasmania, Australia.8 Minnecon D & Kong K, Healthy Futures: Defining Best Practice in the Recruitment and Retention of IndigenousMedical Students, Australian Indigenous Doctors Association Canberra, 2005.9 Medical Council of New Zealand Annual Report 2007http://www.mcnz.org.nz/portals/0/publications/Annualreport2007.pdf10 Human Rights and Equal Opportunity Commission, Australia. Close the Gap Indigenous Health Equality Summit,2008. http://www.humanrights.gov.au/social_justice/health/statement_intent.html11 Council of Australian Governments (2008). Closing the Gap for Indigenous Australians.http://www.coag.gov.au/coag_meeting_outcomes/2008-10-02/index.cfm#gap (accessed 6 October 2008).12 National Aboriginal and Torres Strait Islander Health Council (2008). A blueprint for action: Pathways into thehealth workforce for Aboriginal and Torres Strait Islander people. http://www.aida.org.au/pdf/Pathways.pdf13 The Royal Australasian College of Physicians, and The Royal Australian and New Zealand College of Psychiatrists(2005). Alcohol Policy: Using evidence for better outcomes. (Accessed October 2008)http://www.racp.edu.au/download.cfm?DownloadFile=A95582CE-2A57-5487-D2BF018963D2E72014National Aboriginal Community Controlled Health Organisation (2005). National guide to a preventive healthassessment in Aboriginal and Torres Strait Islander peoples. (Accessed August 2008).http://www.racgp.org.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/NationalguidetoapreventiveassessmentinAboriginalandTorresStraitIslanderpeoples/20050926National_guide.pdf15Royal Australian College of General Practitioners (2008). Diabetes management in general practice 2008/9:guidelines for Type 2 diabetes. (Accessed October 2008).http://www.racgp.org.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/Diabetesmanagement/2008DiabetesManagementInGeneralPractice.pdf16National Heart Foundation of Australia, and Cardiac Society of Australia and New Zealand (2006). Guidelines forthe prevention, detection and management of chronic heart failure in Australia, 2006. (Accessed August 2008).http://www.heartfoundation.org.au/document/NHF/CHF_2006_Guidelines_NHFA-CSANZ_WEB_PDF-1.2MB.pdf17The Royal New Zealand College of General Practitioners Position Statement on Māori Health (Accessed March2009)18 The Medical Council of New Zealand (2006). Statement on cultural competence (Accessed August 2008)19 The Medical Council of New Zealand (2006). Statement on best practices when providing care to Māori patientsand their whanau. (Accessed August 2008)20 The Medical Council of New Zealand (2006). Best Health Outcome for Māori: Practice implications (AccessedAugust 2008)21 Royal Australian and New Zealand College of Psychiatrists (2002). Position Statement #50 – Aboriginal andTorres Strait Islander Mental Health Workers. (Accessed October 2008).http://www.ranzcp.org/images/stories/ranzcpattachments/Resources/College_Statements/Position_Statements/ps50.pdf22Royal Australian College of General Practitioners (2008). Physical activity. (Accessed August 2008).http://www.racgp.org.au/scriptcontent/policy/policydocs/Physical_activity.pdf23 Royal Australian College of General Practitioners (2006). Smoking.http://www.racgp.org.au/scriptcontent/policy/policydocs/Smoking_poli cy.pdf (Accessed August 2008).Royal Australasian College of SurgeonsManual:Division:Subject:Guidelines and Position PapersFellowship and StandardsINDIGENOUS HEALTH POSITION PAPERRef. No.:Approval Date:Review Date:FES_FEL_001June 2009June 2012Page 9 of 9
Page 1: National Aboriginal andTorres Strai
Page 5 and 6: 1Executive SummaryThe framework was
Page 7: 3and Psychiatry and consistent with
Page 11 and 12: 7Section 1: Pathways, Recruitment,
Page 13 and 14: 9specialising in sexual health was
Page 15 and 16: 11content of those courses that are
Page 17 and 18: 13Section 2: CurriculumThere are tw
Page 19 and 20: 15environment for trainees to learn
Page 21 and 22: 17Section 3: Action for ChangeHow c
Page 23: SummaryThe commissioning of this re
Page 27: National Curriculum InitiativesSugg
Page 31 and 32: September 2009Paper for internal us
Page 39 and 40: Committee of Presidents of Medical
Page 43: 39Appendix 3Indigenous Health Posit
Page 46 and 47: INDIGENOUS HEALTH POSITION PAPERInd
Page 48 and 49: INDIGENOUS HEALTH POSITION PAPER4.1
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Page 55: 51Appendix 4Ethical Guideline 11: P
Page 58 and 59: GuidelinesThe Royal Australian and
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Page 75: 71Appendix 6Heads of AgreementNatio
Page 78: PrinciplesThe RACP and NACCHO will:

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