Week 1: Intro to Inclusive Practice Human rights
Universal Declaration of Human Rights (UDHR)
1: Inclusive Practice
articulates the fundamental rights & freedoms for
Inclusivity in Practice & Primary Health Care all.
Inclusive practice: “Incorporates health Human Rights Act 2019
care that is non-discriminatory, fair, and
The main objects of this act are:
respectful of individuals and their
(a) to protect and promote human rights;
circumstances.
and
- Embraces diversity within and of vulnerable
(b) to help build a culture in the Queensland
groups” (Davis et al., 2015, p.270).
public sector that respects and promotes
human rights; and
Inclusivity: to work inclusivity means
(c) to help promote a dialogue about the
knowing what conditions, attitudes &
nature, meaning and scope of human
practices exclude to act to include.
rights.
Exclusion is also known as marginalisation.
Exclusion includes dynamic, Approaches to Inclusive Practice
multidimensional processes that invite
Binary & Relationship approaches
unequal power relationships interacting
across all dimensions including economic,
Binary relationships: are social
political, social, and cultural.
relationships organized around a set of
Pg. 3 textbook, binding characteristics that define the
roles and behaviour of two people, or
"Working inclusively is not simply taking peoples
groups, social, cultural, or political.
differences into account when providing
healthcare, it requires the requires the ability and
Relationship is characterized by mutual
willingness to engage authentically and genuinely
negation and participation between the
with people in any healthcare situations”.
health professional and the health service
user.
Primary health care Summary
Primary health care & the social determinants of
Primary health care Primary health care
health form the foundation for the building of
relates to the treatment of patients who are
inclusive relationships.
not admitted to hospital. First point of contact
for most patients. Current understandings of inclusiveness grew out
Social determinants of health of the social and cultural resistance to traditional
social agencies and structures that exclude
Social determinants of health (SDH): The people based on cultural or social difference.
social determinants of health (SDH) are
the “non-medical factors that influence Creating inclusive health systems and practices
health outcomes. They are the conditions requires health practitioners to work to reduce
in which people are born, grow, work, live, the power of the historical binary relationship
and age, and the wider set of forces and that creates health inequity based on either/or
systems shaping the conditions of daily criteria (exclusive/inclusive), into systems and
life”. practices that embrace ‘and/and’ (inclusive)
approaches to health care.
, 2: Inclusion & Exclusion in Australia Inclusive practice in action
Population Diversity Levels of application of inclusive practice in
health service delivery:
Key statistics (2016)
1. Individual health practitioners
Almost half of Australians (45% or 10.6 million) - Building relationships.
were either born overseas (26% or 6.2 million) or - Tailoring care.
had one or both parents who were born overseas - Facilitating connections.
(19% or 4.5 million)
Over 300 languages are spoken in Australia. 2. Health service organizations
- Training to use & developing frameworks.
- Supporting you to implement inclusive
Australia’s health providing.
All is not equal. A person’s health is closely linked 3. Governments & regulatory bodies.
to the conditions in which they live and work. - Funding
Generally, Australians can expect to enjoy long - Support
and relatively healthy lives, however, there are - Standards
disparities across some population groups.
Consider health across Inclusive design
- Socioeconomic groups
- Children; mothers & babies Inclusive design is about “creating spaces that are
- Older people accessible and usable for ‘whole populations’ and
- Disability not just the ‘majority’” (Mills and Hitchins, 2015,
- Prisoners p.27).
- Veterans
- Young people
- Remote health. Social determinants on health
‘Australia health snapshots 2020’
What is it?
Inclusion & Exclusion in Australia Normal determinants of health are age, sex
genetics etc.
Who is most likely to experience exclusion and
poorer health and/or healthcare delivery? Social determinants are non-medical, and include
the conditions in which people are born, grow,
People who are: live, work and age.
- Rural and remote (1.4x more disease). - Networks
- Lower socioeconomic status (including - Socioeconomic factors
homelessness) - Culture
- Limited education - Environment
- Long-term physical and/or mental health - Health systems
condition (including disability)
- Indigenous Australians (2.3x more disease) Impacted by the distribution of money, power,
- CALD persons (cultural and linguistically and resources at an international, national and
diverse). local level.
Universal Declaration of Human Rights (UDHR)
1: Inclusive Practice
articulates the fundamental rights & freedoms for
Inclusivity in Practice & Primary Health Care all.
Inclusive practice: “Incorporates health Human Rights Act 2019
care that is non-discriminatory, fair, and
The main objects of this act are:
respectful of individuals and their
(a) to protect and promote human rights;
circumstances.
and
- Embraces diversity within and of vulnerable
(b) to help build a culture in the Queensland
groups” (Davis et al., 2015, p.270).
public sector that respects and promotes
human rights; and
Inclusivity: to work inclusivity means
(c) to help promote a dialogue about the
knowing what conditions, attitudes &
nature, meaning and scope of human
practices exclude to act to include.
rights.
Exclusion is also known as marginalisation.
Exclusion includes dynamic, Approaches to Inclusive Practice
multidimensional processes that invite
Binary & Relationship approaches
unequal power relationships interacting
across all dimensions including economic,
Binary relationships: are social
political, social, and cultural.
relationships organized around a set of
Pg. 3 textbook, binding characteristics that define the
roles and behaviour of two people, or
"Working inclusively is not simply taking peoples
groups, social, cultural, or political.
differences into account when providing
healthcare, it requires the requires the ability and
Relationship is characterized by mutual
willingness to engage authentically and genuinely
negation and participation between the
with people in any healthcare situations”.
health professional and the health service
user.
Primary health care Summary
Primary health care & the social determinants of
Primary health care Primary health care
health form the foundation for the building of
relates to the treatment of patients who are
inclusive relationships.
not admitted to hospital. First point of contact
for most patients. Current understandings of inclusiveness grew out
Social determinants of health of the social and cultural resistance to traditional
social agencies and structures that exclude
Social determinants of health (SDH): The people based on cultural or social difference.
social determinants of health (SDH) are
the “non-medical factors that influence Creating inclusive health systems and practices
health outcomes. They are the conditions requires health practitioners to work to reduce
in which people are born, grow, work, live, the power of the historical binary relationship
and age, and the wider set of forces and that creates health inequity based on either/or
systems shaping the conditions of daily criteria (exclusive/inclusive), into systems and
life”. practices that embrace ‘and/and’ (inclusive)
approaches to health care.
, 2: Inclusion & Exclusion in Australia Inclusive practice in action
Population Diversity Levels of application of inclusive practice in
health service delivery:
Key statistics (2016)
1. Individual health practitioners
Almost half of Australians (45% or 10.6 million) - Building relationships.
were either born overseas (26% or 6.2 million) or - Tailoring care.
had one or both parents who were born overseas - Facilitating connections.
(19% or 4.5 million)
Over 300 languages are spoken in Australia. 2. Health service organizations
- Training to use & developing frameworks.
- Supporting you to implement inclusive
Australia’s health providing.
All is not equal. A person’s health is closely linked 3. Governments & regulatory bodies.
to the conditions in which they live and work. - Funding
Generally, Australians can expect to enjoy long - Support
and relatively healthy lives, however, there are - Standards
disparities across some population groups.
Consider health across Inclusive design
- Socioeconomic groups
- Children; mothers & babies Inclusive design is about “creating spaces that are
- Older people accessible and usable for ‘whole populations’ and
- Disability not just the ‘majority’” (Mills and Hitchins, 2015,
- Prisoners p.27).
- Veterans
- Young people
- Remote health. Social determinants on health
‘Australia health snapshots 2020’
What is it?
Inclusion & Exclusion in Australia Normal determinants of health are age, sex
genetics etc.
Who is most likely to experience exclusion and
poorer health and/or healthcare delivery? Social determinants are non-medical, and include
the conditions in which people are born, grow,
People who are: live, work and age.
- Rural and remote (1.4x more disease). - Networks
- Lower socioeconomic status (including - Socioeconomic factors
homelessness) - Culture
- Limited education - Environment
- Long-term physical and/or mental health - Health systems
condition (including disability)
- Indigenous Australians (2.3x more disease) Impacted by the distribution of money, power,
- CALD persons (cultural and linguistically and resources at an international, national and
diverse). local level.
