Literature Review On Health Disparities

serves." (pg 518) The authors argue that there is a cultural clash between the aboriginal peoples and the non-aboriginal peoples in Australia and believe that aboriginal peoples cannot receive adequate healthcare, of historic mistrust between them and their health care providers. The authors also claim that there is little or no motivation to change things politically. The authors want the non-aboriginal population to learn about the aboriginal culture and stop patronizing the aboriginal peoples and calls for both social and political change to end health care disparities in Australia. While both racism and cultural differences play a role in health disparities, this research rejects that conclusion. I find that political differences account …show more content…
The author cites the Canadian Royal Commission on Aboriginal Peoples and the Australian Royal Commission on Aboriginal Deaths in Custody frequently. The author identifies psychosocial stress as a variable to indigenous health care access inequalities. The author suggests an approach to these issues from a non-biomedical standpoint, asserting that trust, reciprocity, and shared decision making have much better results. Stating that culture is complex and health care providers need to abandon the comfortable checklist and engage the patient, the author expresses distrust of current Australian programs which may relieve some of these issues. Here, the article asserts that political policy must be based around a, « … mix of qualitative studies, audits and surveys, program evaluation, advocacy, quality improvement projects, non-systematic topic reviews and opinion pieces. » and states that comprehending the inability of indigenous people to access health care is crucial to making effective …show more content…
I theorize that the relative differences are caused by government policies regarding health, because all other variables can almost be held equal in these four states due to their almost identical histories of British imperialism. States with universal health care or lower cost to indigenous peoples will have lower health disparities between indigenous and non-indigenous peoples. The logic here is that everyone in society will have decent access to health if the healthcare system is functioning properly, so race should be an irrelevant factor. I hypothesize that if government implemented healthcare policies aimed at reducing healthcare disparities are effective then healthcare disparities between indigenous and non-indigenous populations in the United States, Canada, New Zealand, and Australia will vary between