Updating the model of eye care for Aboriginal populations in remote Central Australia

Mitchell, William; Hassall, Mark; Henderson, Anne

doi:10.1111/ceo.13838

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…Collaboration with racial and ethnic minority clinicians and clinics that primarily serve minority communities, and establishing research facilities in LMICs, means research can be performed by those caring for those populations 15 16. Engaging members of marginalised communities as stakeholders in trials is crucial in fostering trust in the medical research community 15 27…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic disparities in ophthalmological clinical trials

et al. 2023

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IntroductionIn ophthalmology, clinical trials (CTs) guide the treatment of diseases such as diabetic retinopathy, myopia, age-related macular degeneration, glaucoma and keratoconus with distinct presentations, pathological characteristics and responses to treatment in minority populations.Reporting gender and race and ethnicity in healthcare studies is currently recommended by National Institutes of Health (NIH) and Food and Drug Administration (FDA) guidelines to ensure representativeness and generalisability; however, CT results that include this information have been limited in the past 30 years.The objective of this review is to analyse the sociodemographic disparities in ophthalmological phases III and IV CT based on publicly available data.MethodsThis study included phases III and IV complete ophthalmological CT available fromclinicaltrials.org, and describes the country distribution, race and ethnicity description and gender, and funding characteristics.ResultsAfter a screening process, we included 654 CTs, with findings that corroborate the previous CT reviews’ findings that most ophthalmological participants are white and from high-income countries. A description of race and ethnicity is reported in 37.1% of studies but less frequently included within the most studied ophthalmological specialty area (cornea, retina, glaucoma and cataracts). The incidence of race and ethnicity reporting has improved during the past 7 years.DiscussionAlthough NIH and FDA promote guidelines to improve generalisability in healthcare studies, the inclusion of race and ethnicity in publications and diverse participants in ophthalmological CT is still limited. Actions from the research community and related stakeholders are necessary to increase representativeness and guarantee generalisability in ophthalmological research results to optimise care and reduce related healthcare disparities.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic disparities in ophthalmological clinical trials

et al. 2023

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“…7,8 Aboriginal and/or Torres Strait Islander peoples have a three-fold increased risk of blindness, and are seven times less likely to receive eye surgery for cataracts. 9 To improve access to culturally safe health care services for Indigenous peoples across Australia and NZ, the regulatory authorities (the Australian Health Practitioner Regulation Authority and the Optometrists and Dispensing Opticians Board of NZ) have developed cultural safety strategies and standards. In NZ, cultural safety emerged in the 1990s as a framework for delivering more appropriate health care services for Māori, 10 requiring the practitioner to understand their own culture and how this influences interactions with people from other cultures.…”

Section: Introductionmentioning

confidence: 99%

Developing culturally safe education practices in optometry schools across Australia and Aotearoa New Zealand

Anstice

Alam

Armitage

et al. 2022

Clinical and Experimental Optometry

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Access to culturally safe health services is a basic human right, however through the lasting effects of colonisation, oppression, and systemic racism, the individual and community health of Indigenous peoples in Australia and Aotearoa New Zealand have been severely impacted. The Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy of the Australian Health Practitioners Regulation Agency, and the Standards of Cultural Competence and Cultural Safety of the Optometrists and Dispensing Opticians Board of New Zealand, recognise the importance of access to safe health care for Aboriginal, Torres Strait Islander and Māori patients, which encompasses both clinical competency and cultural safety. Universities have an ongoing responsibility to ensure their learning and teaching activities result in graduates being able to provide culturally safe practice. This article highlights the emergence of culturally safe practices in the Australian and Aotearoa New Zealand optometry curricula over the last five years incorporating Indigenous ways of knowing, being and doing into the curricula, understanding the local Indigenous histories and contexts, the adoption of online cultural education modules, and clinical placement partnerships with local Indigenous communities. Whilst there is still much work to do to achieve the goal of graduating culturally safe optometrists, this paper focuses on features that enable or impede progress in the development of culturally safe practices within the optometry programmes to improve eye health equity for Indigenous recognise the diversity of Indigenous cultures across Australia and NZ.

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“…Taylor and Anjou 17 summarised reports related to cataract morbidity in Aboriginal and Torres Strait Islander peoples, showing the shortfall in outreach cataract surgeries. Mitchell et al 18 described the Central Australian ophthalmology model at community, healthcare service and healthcare systems levels, and highlighted barriers to the improvements needed to ensure health‐equality for Aboriginal Australians.…”

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confidence: 99%

Reviewing the reviews

Smith

2021

Clinical Exper Ophthalmology

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Updating the model of eye care for Aboriginal populations in remote Central Australia

Cited by 5 publications

References 28 publications

Sociodemographic disparities in ophthalmological clinical trials

Sociodemographic disparities in ophthalmological clinical trials

Developing culturally safe education practices in optometry schools across Australia and Aotearoa New Zealand

Reviewing the reviews

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