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How the Social Determinants of Indigenous Health became Policy Reality for Australia's National Aboriginal and Torres Strait Islander Health Plan

Dados Bibliográficos

ID2115992
AutoresMatthew Fisher (0000-0003-3756-1146, Flinders University), Battam (0000-0003-4433-0530, Flinders University), Samantha Battam, Samantha Battams, Dennis Mcdermott (Flinders University), Franziska Baum (0000-0002-2294-1368, Flinders University), Fran Baum, Colin Macdougall (0000-0002-1270-6823, Flinders University)
Ano2019
Volume48
Fascículo1
Páginas169-189
Data de publicação2019-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Social Policy (JOURNAL)
Identificadores do periódicoISSN: 0047-2794 • E-ISSN: 1469-7823
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0047279418000338
OpenAlexW2805079164
IdiomaEN
Citações recebidas12
Referências citadas13

The paper analyses the policy process which enabled the successful adoption of Australia's National Aboriginal and Torres Strait Islander Health Plan 2013-2023 (NATSIHP), which is grounded in an understanding of the Social Determinants of Indigenous Health (SDIH). Ten interviews were conducted with key policy actors directly involved in its development. The theories we used to analyse qualitative data were the Advocacy Coalition Framework, the Multiple Streams Approach, policy framing and critical constructionism. We used a complementary approach to policy analysis. The NATSIHP acknowledges the importance of Aboriginal and Torres Strait Islander (hereafter, Aboriginal) culture and the health effects of racism, and explicitly adopts a human-rights-based approach. This was enabled by a coalition campaigning to 'Close the Gap' (CTG) in health status between Aboriginal and non-Aboriginal Australians. The CTG campaign, and key Aboriginal health networks associated with it, operated as an effective advocacy coalition, and policy entrepreneurs emerged to lead the policy agenda. Thus, Aboriginal health networks were able to successfully contest conventional problem conceptions and policy framings offered by government policy actors and drive a paradigm shift for Aboriginal health to place SDIH at the centre of the NATSIHP policy. Implications of this research for policy theory and for other policy environments are considered along with suggestions for future research

CONTEST · Economic growth · Economics · Framing (construction) · Geography · Government (linguistics) · Health care · Indigenous · Political science · Public relations · Social determinants of health · Sociology · Food Security and Health in Diverse Populations · Global Public Health Policies and Epidemiology · Indigenous Health, Education, and Rights · Law · Public Administration · Health Policy

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Obras citantes distintas12
Citações por ano1,71
Intervalo de citações2019 - 2026 (8)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 7
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