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Title: A framework for overcoming disparities in management of acute coronary syndromes in the Australian Aboriginal and Torres Strait Islander population. A consensus statement from the National Heart Foundation of Australia.
Authors: Ilton, Marcus K
Walsh, Warren F
Brown, Alex D H
Tideman, Philip A
Zeitz, Christopher J
Wilson, Jinty
Affiliation: Cardiology Department, Royal Darwin Hospital, Darwin, NT, Australia.
Department of Cardiology, Prince of Wales Hospital, Sydney, NSW, Australia..
South Australian Health and Medical Research Institute, Adelaide, SA, Australia..
Integrated Cardiovascular Clinical Network (iCCnet), Country Health SA Local Health Network, Adelaide, SA, Australia..
University of Adelaide, Adelaide, SA, Australia..
Clinical Programs, National Heart Foundation of Australia, Melbourne, VIC, Australia..
Issue Date: 16-Jun-2014
Citation: The Medical journal of Australia 2014-06-16; 200(11): 639-43
Abstract: Aboriginal and Torres Strait Islander patients with acute coronary syndromes (ACS) experience lower intervention rates and poorer outcomes compared with non-Indigenous patients. A broad range of geographical, cultural and systemic factors contribute to delays and suboptimal treatment for ACS. Every Indigenous ACS patient, regardless of where they live, should be able to expect a coordinated, patient-centred pathway of care provided by designated provider clinical networks and supported by Indigenous cardiac coordinators, Aboriginal liaison officers (ALOs) and health workers. These designated provider clinical networks provide: appropriate prehospital and inhospital treatment an individualised patient care plan developed jointly with the patient and his or her family culturally appropriate education initiated within the hospital setting and involving families with support from ALOs effective follow-up care and access to relevant secondary prevention programs. We outline generic pathways to provide policymakers, health planners and health care providers with a framework for ACS diagnosis and management that can be implemented across the diverse settings in which Aboriginal and Torres Strait Islander people reside and their care is delivered, in order to optimise care and assertively address the current disparities in outcomes.
Type: Journal Article
Research Support, Non-U.S. Gov't
Subjects: Acute Coronary Syndrome
Health Personnel
Health Services, Indigenous
Health Status Indicators
Healthcare Disparities
Oceanic Ancestry Group
Societies, Medical
Appears in Collections:NT Health digital library

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