abstract: 'Objective: To better understand issues driving quality in burn care

  related to equity of outcomes and equality of provision for Aboriginal

  and Torres Strait Islander children.

  Methods: Seventy-six interviews with team members who provide care for

  Aboriginal and Torres Strait Islander children in six paediatric burn

  units across five Australian jurisdictions were completed. Interface

  research methodology within a qualitative design guided data collection

  and analysis.

  Results: Three themes were identified: i) Burn team members who identify

  the requirement to meet the specific needs of Aboriginal and Torres

  Strait Islander children and deliver differential care; ii) Burn team

  members who believe in equal care, but deliver differential care based

  on the specific needs of Aboriginal and Torres Strait Islander children;

  and iii) Burn team members who see little need for provision of

  differential care for Aboriginal and Torres Strait Islander children and

  rather, value the provision of equal care for all.

  Conclusion: Burn team members conflate equitable and equal care, which

  has implications for the delivery of care for Aboriginal and Torres

  Strait Islander children. Equitable care is needed to address

  disparities in post-burn outcomes, and this requires clinicians,

  healthcare services and relevant system structures to work coherently

  and intentionally to reflect these needs.

  Implications for public health: Changes in health policy, the embedding

  of Aboriginal and Torres Strait Islander liaison officers in burn care

  teams and systems that prioritise critical reflexive practice are

  fundamental to improving care.'
affiliation: 'Fraser, S (Corresponding Author), Univ New South Wales, Sydney, NSW
  2052, Australia.

  Fraser, Sarah; Ivers, Rebecca, Univ New South Wales, Fac Med \& Hlth, Sydney, NSW,
  Australia.

  Grant, Julian, Charles Sturt Univ, Fac Sci, Sch Nursing Midwifery \& Indigenous
  Hlth, Bathurst, NSW, Australia.

  Mackean, Tamara, Flinders Univ S Australia, Coll Med \& Publ Hlth, Adelaide, SA,
  Australia.

  Hunter, Kate, George Inst Global Hlth, Sydney, NSW, Australia.

  Hunter, Kate, Fac Med, Sydney, NSW, Australia.

  Hunter, Kate, Univ New South Wales, Sydney, NSW 2052, Australia.

  Keeler, Ngara, Cent Local Hlth Network, Adelaide, SA, Australia.

  Clapham, Kathleen, Univ Wollongong, Ngarruwan Ngadju Peoples Hlth 1, Wollongong,
  NSW, Australia.

  Clapham, Kathleen, Univ Wollongong, Wellbeing Res Ctr, Wollongong, NSW, Australia.

  Edgar, Dale W., Fiona Stanley Hosp, Burn Serv Western Australia, Murdoch, WA, Australia.

  Edgar, Dale W., Univ Notre Dame Australia, Inst Hlth Res, Fremantle, WA, Australia.

  Towers, Kurt, Northern Adelaide Local Hlth Network, Adelaide, SA, Australia.

  Teague, Warwick J., Royal Childrens Hosp, Burns Serv, Melbourne, Vic, Australia.

  Teague, Warwick J., Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia.'
author: Fraser, Sarah and Grant, Julian and Mackean, Tamara and Hunter, Kate and Keeler,
  Ngara and Clapham, Kathleen and Edgar, Dale W. and Towers, Kurt and Teague, Warwick
  J. and Ivers, Rebecca
author-email: sarah.fraser@unsw.edu.au
author_list:
- family: Fraser
  given: Sarah
- family: Grant
  given: Julian
- family: Mackean
  given: Tamara
- family: Hunter
  given: Kate
- family: Keeler
  given: Ngara
- family: Clapham
  given: Kathleen
- family: Edgar
  given: Dale W.
- family: Towers
  given: Kurt
- family: Teague
  given: Warwick J.
- family: Ivers
  given: Rebecca
da: '2023-09-28'
doi: 10.1111/1753-6405.13110
earlyaccessdate: MAY 2021
eissn: 1753-6405
files: []
issn: 1326-0200
journal: AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
keywords: 'Australia; health equity; burn care; cultural safety; Aboriginal and

  Torres Strait Islander; Indigenous; children; quality'
keywords-plus: HEALTH; AUSTRALIA; INJURIES
language: English
month: JUN
number: '3'
number-of-cited-references: '22'
orcid-numbers: 'Teague, Warwick J/0000-0003-4747-6025

  Edgar, Dale W/0000-0001-7336-9317

  Grant, Julian/0000-0002-4856-2147

  Clapham, Kathleen/0000-0001-9776-5496'
pages: 220-226
papis_id: 2c4c3426b263b32edf12cd6ba1b08430
ref: Fraser2021consideringdifferenc
researcherid-numbers: 'Teague, Warwick J/AAY-7260-2020

  Edgar, Dale W/AAV-9394-2021

  Grant, Julian/AAM-6906-2020

  '
times-cited: '1'
title: 'Considering difference: clinician insights into providing equal and equitable
  burns care for Aboriginal and Torres Strait Islander children'
type: Article
unique-id: WOS:000653227600001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '45'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2021'