Characteristics of Indigenous primary health care models of service delivery: a scoping review protocol

• Published in: JBI Database of Systematic Reviews and Implementation Reports
• Main Authors: Harfield, S., Davy, C., Kite, E., McArthur, A., Munn, Z., Brown, N., Brown, A.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Lippincott, Williams & Wilkins 2015
• Subjects: Primary health care; models of care; service delivery; Indigenous; Aboriginal; Torres Strait Islander; First Nation; Maori; Inuit; American Indian; Briggs; Canada; Indian; New Zealand; inuit
• Online Access: http://hdl.handle.net/2440/127277; https://doi.org/10.11124/jbisrir-2015-2474

The objective of the scoping review is to identify and describe within the existing literature the characteristics (values, principles, components and suggest practical applications) of primary health care models of service delivery for Indigenous people. More specifically, the review question is:What are the characteristics (values, principles, components and suggested practical applications) of primary health care models of service delivery for Indigenous people?Findings from this scoping review will inform two systematic reviews. One of these will explore the acceptability and the other the effectiveness of identified characteristics.The scoping review will follow the JBI Scoping Review methodology as outlined in the 2015 Joanna Briggs Institute Reviewers' Manual.Indigenous populations in colonized countries experience worse health outcomes relative to their non-Indigenous counterparts. In Australia, in the period 2010 to 2012 the estimated gap in life expectancy between Aboriginal and Torres Strait Islander Australians compared to non-Indigenous Australians was 10 years Similar gaps in life expectancy between Indigenous and non-Indigenous have been demonstrated in other countries, such as New Zealand, Canada and the United StatesThe gap in life expectancy and the health disadvantage experienced by Indigenous people is in part the result of mainstream health services not adequately meeting the health needs of Indigenous people and Indigenous people's inability to access mainstream services Part of the solution has been the establishment of primary health care services for and in many cases run by Indigenous people. Indigenous primary health services have been developed to provide culturally appropriate services that meet the needs of local Indigenous communities.In Australia, the first Aboriginal medical service was established in 1971 in Redfern, New South Wales, by "community activists in response to ongoing discrimination against Aboriginal people within mainstream health services to address the poor ...