Pediatric anesthesia in Australia and New Zealand and health inequity among First Nations and Māori children

Author:

Waugh Edith1ORCID,Thomas Jane23,Anderson Brian J.24ORCID,Lee‐Archer Paul56ORCID

Affiliation:

1. Department of Anaesthesia and Perioperative Medicine Royal Darwin and Palmerston Hospitals Darwin Northern Territory Australia

2. Department of Anaesthesia Starship Children's Hospital Auckland New Zealand

3. The Auckland Regional Pain Service Auckland New Zealand

4. Faculty of Medical and Health Sciences, Anaesthesiology University of Auckland Auckland New Zealand

5. Department of Anaesthesia Children's Health Queensland Clinical Unit, Queensland Children's Hospital Brisbane Queensland Australia

6. Faculty of Medicine University of Queensland Brisbane Queensland Australia

Abstract

AbstractAustralia and New Zealand are two countries in the Southern Pacific region. They share many pediatric anesthesia similarities in terms of medical organizational systems, education, training, and research, however there are important differences between the two nations in relation to geography, the First Nations populations and the history of colonization. While the standards for pediatric anesthesia and the specialty training requirements are set by the Australian and New Zealand College of Anesthetists and the Society for Pediatric Anesthesia in New Zealand and Australia, colonization has created distinct challenges that each nation now faces in order to improve the anesthetic care of its pediatric population. Australia generally has a high standard of living and good access to health care; disparities exist for First Nations People and for those living in rural or remote areas. Two influences have shaped training within New Zealand over the past 40 years; establishment of a national children's hospital in 1990 and, more importantly, acknowledgement that the First Nations people of New Zealand (Māori) have suffered because of failure to recognize their rights consequent to establishing a partnership treaty between Māori and the British Crown in 1840. Health inequities among Māori in New Zealand and First Nations People in Australia have implications for the health system, culturally appropriate approaches to treatment, and the importance of having an appreciation of First Nations people's history and culture, language, family structure, and cultural safety. Trainees in both countries need to be adequately supported in these areas in order for the sub‐specialty of pediatric anesthesia to develop further and improve the anesthetic and surgical outcomes of our children.

Publisher

Wiley

Reference26 articles.

1. Society for Paediatric Anaesthesia in New Zealand and Australia Annual Report June 2022—July 2023. SPANZA.2023. Accessed March 23 2024.https://www.spanza.org.au/wp‐content/uploads/2023/10/SPANZA‐Annual‐Report‐2023_Final‐Combined.pdf

2. Australian Burden of Disease Study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people. Australian Institute of Health and Welfare.2018. Accessed March 23 2024 athttps://www.aihw.gov.au/reports/burden‐of‐disease/illness‐death‐indigenous‐2018

3. Aboriginal and Torres Strait Islander Health Performance Framework. Australian Institute of Health and Welfare & National Indigenous Australians Agency.2023. Accessed March 23 2024.https://www.indigenoushpf.gov.au

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3