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Heart, Lung and Circulation

Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander People

Published:October 22, 2014DOI:https://doi.org/10.1016/j.hlc.2014.09.021
      Cardiovascular diseases (CVD) constitute the largest cause of death for Aboriginal and Torres Strait Islander people and remain the primary contributor to life expectancy differentials between Aboriginal and Torres Strait Islander and non-Indigenous Australians. As such, CVD remains the most critical target for reducing the life expectancy gap. The Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander people (ESSENCE) outline elements of care that are necessary to reduce disparity in access and outcomes for five critical cardiovascular conditions. The ESSENCE approach builds a foundation on which the gap in life expectancy between Aboriginal and Torres Strait Islander and non-Indigenous Australians can be reduced. The standards purposefully focus on the prevention and management of CVD extending across the continuum of risk and disease. Each of the agreed essential service standards are presented alongside the most critical targets for policy development and health system reform aimed at mitigating population disparity in CVD and related conditions.

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      Linked Article

      • Re: Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander People
        Heart, Lung and CirculationVol. 24Issue 6
        • Preview
          The ESSENCE document describing Essential Services Standards for Aboriginal and Torres Strait Islander people [1] is a well written and robust set of guidelines that could be more generally applicable in Australian communities, especially for non-Indigenous disadvantaged groups including migrants. Hypertension is included as one of the seven tables in the ESSENCE document. Although this is justified by a recent report stating that hypertension is the most common self-reported cardiovascular condition in the Aboriginal and Torres Strait Islander population [2], the prevalence is only 7% compared with much higher rates of diabetes in most Indigenous communities [3].
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