Indigenous peoples in colonised countries internationally experience a disproportionately high burden of disease and disability. The impact of many of these conditions, such as musculoskeletal pain, can be ameliorated by participating in physical rehabilitation. However, access by Indigenous peoples to physical rehabilitation is low. Overcoming barriers for Indigenous peoples to access high-quality, effective, culturally secure physical rehabilitation should be a priority. Physical rehabilitation outcomes for Indigenous peoples can be enhanced by addressing health system, health service, and individual clinician-level considerations. System-level changes include a greater commitment to cultural security, improving the funding of physical rehabilitation to Indigenous communities, building the Indigenous physical rehabilitation workforce, and developing and using Indigenous-identified indicators in quality improvement. At the health service level, physical rehabilitation should be based within Indigenous health services, Indigenous people should be employed as physical rehabilitation professionals or in allied roles, and cultural training and support provided to the existing physical rehabilitation workforce. For clinicians, a focus on cultural development and the quality of communication is needed. Indigenous ill-health is complex and includes societal and social influences. These recommendations offer practical guidance toward fair, reasonable, and equitable physical rehabilitation outcomes for Indigenous peoples.
Details
Title
Opportunities and challenges for physical rehabilitation with indigenous populations
Authors/Creators
Ivan Lin - Univ Western Australia, Western Australian Ctr Rural Hlth, POB 109, Geraldton, WA, Australia
Juli Coffin - The Kids Research Institute Australia
Jonathan Bullen - Curtin University
Cheryl Barnabe - University of Calgary
Publication Details
Pain reports, Vol.5(5), pp.e838-e838
Publisher
Lippincott Williams & Wilkins
Number of pages
8
Grant note
APP1090403 / Australian National Health and Medical Research Council Early Career Fellowship; National Health and Medical Research Council (NHMRC) of Australia