Intellectual Apartheid in Australian Healthcare Governance
“Decades of intellectual thought influencing the trajectory of Australian healthcare governance has produced another Great Australian Silence about the voice of First Nations Peoples”Dr Mark J Lock
“When the rights of First Nations peoples worldwide are hotly debated in the media, academic research, policy debates and in practice, governance intellectuals were culturally blind to those socio-political currents”Dr Mark J Lock
“Intellectual apartheid excludes the cultural voice of First Nations Australians and renders us invisible and silent in the future governance of healthcare safety and quality”Dr Mark J Lock
My definition of cultural safety and security is this: when cultural safety is evident at every point and pathway of the Australian healthcare system, then Australia’s First Peoples can trust that it is culturally secure for them, their families, and their communities (Lock, 2018). This means thinking about how culturally dangerous health service environments are enabled through corporate governance.
A recent example is the 2016 death of pregnant Wiradjuri woman Naomi Williams where the resulting coronial inquest found no individual staff member or particular circumstance was to blame (Grahame 2019), but implicated was a long history of distrust with the Tumut hospital and health services in the Murrumbidgee region of New South Wales. That history means the leadership and stewardship of healthcare governance, over many decades, resulted a culturally insecure system of care for Wiradjuri people.
“Intellectuals of healthcare governance fail to connect with the reality of First Peoples experiences of cultural danger, cultural insecurity and institutional racism”Dr Mark J Lock
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