Defining the gap, emphasising the deficit

IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Medical Journal of Australia Pub Date : 2024-11-07 DOI:10.5694/mja2.52518
Bridie Mulholland
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Abstract

To the Editor: The Australian National Agreement on Closing the Gap is an undeniably important piece of political infrastructure.1 The new approach, outlined in the 2020 National Agreement, vows to achieve First Nations equity by recognising the strength of, and empowering, First Nations people, communities and organisations.

By its nature, “closing the gap” inadvertently places non-Indigenous Australians above First Nations people and sets outcomes of non-Indigenous Australians as the gold standard. Although it is important to understand the relative and disproportionate disadvantage that First Nations people experience in Australia, the closing the gap narrative continues to perpetuate deficit discourse and encourages the benchmarking of First Nations outcomes against non-Indigenous Australians.

This deficit-driven process of benchmarking has become increasingly prevalent in First Nations-focused research, where the research problem is often described by the relative gap between First Nations people and non-Indigenous Australians. In many cases, highlighting the gap provides little value to the research, and only persists to promote deficit discourse — by continually defining the gap, we continually emphasise the deficit.

Progress towards equity for First Nations people has been slow, stunted and non-existent in many of the Closing the Gap target and priority reform areas.2 In light of this, the importance of moving away from the deficit narrative surrounding First Nations outcomes is being increasingly recognised.3 Driving high quality research in genuine partnership with First Nations people is key to driving real change. As such, it is critical that researchers, reviewers and journals play their part in shifting the deficit narrative.

Defining the research problem is integral to effective dissemination of research findings and attraction of funding. For health research, this often means defining rates of disease morbidity and mortality. These statistics are seldom positive but provide important context to research studies. Shifting the deficit narrative in First Nations health research should not mean that important, but negative, statistics are omitted from the story; rather, researchers should remain cognisant of the deficit narrative that comparison of First Nations outcomes to non-Indigenous Australians perpetuates, and should seek to only compare outcomes where it is absolutely pertinent to the context of the study.

No relevant disclosures.

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确定差距,强调不足。
致编辑:《澳大利亚缩小贫富差距全国协议》无疑是政治基础设施的重要组成部分2020年全国协议概述了新方法,承诺通过承认原住民、社区和组织的力量并赋予他们权力,实现原住民的平等。就其本质而言,“缩小差距”无意中将非土著澳大利亚人置于第一民族之上,并将非土著澳大利亚人的结果设定为黄金标准。虽然理解第一民族在澳大利亚经历的相对和不成比例的劣势很重要,但缩小差距的叙述继续使赤字话语永存,并鼓励将第一民族的结果与非土著澳大利亚人进行比较。这种赤字驱动的基准过程在以第一民族为重点的研究中变得越来越普遍,在这些研究问题中,第一民族和非土著澳大利亚人之间的相对差距经常被描述为第一民族的研究问题。在许多情况下,强调差距对研究没有什么价值,只会持续促进赤字话语——通过不断定义差距,我们不断强调赤字。在许多缩小差距目标和优先改革领域中,为土著人民争取平等的进展缓慢、受阻和不存在有鉴于此,越来越多的人认识到,摆脱围绕第一民族成果的赤字叙事的重要性与原住民建立真正的伙伴关系,推动高质量的研究,是推动真正变革的关键。因此,研究人员、审稿人和期刊在改变赤字叙事方面发挥自己的作用是至关重要的。界定研究问题是有效传播研究成果和吸引资金的必要条件。对于卫生研究,这通常意味着确定疾病发病率和死亡率。这些统计数据很少是积极的,但为研究提供了重要的背景。改变第一民族健康研究中的赤字叙述不应该意味着从故事中省略了重要但消极的统计数据;相反,研究人员应该认识到,将第一民族的结果与非土著澳大利亚人的结果进行比较的叙述是错误的,并且应该寻求只比较与研究背景绝对相关的结果。无相关披露。
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来源期刊
Medical Journal of Australia
Medical Journal of Australia 医学-医学:内科
CiteScore
9.40
自引率
5.30%
发文量
410
审稿时长
3-8 weeks
期刊介绍: The Medical Journal of Australia (MJA) stands as Australia's foremost general medical journal, leading the dissemination of high-quality research and commentary to shape health policy and influence medical practices within the country. Under the leadership of Professor Virginia Barbour, the expert editorial team at MJA is dedicated to providing authors with a constructive and collaborative peer-review and publication process. Established in 1914, the MJA has evolved into a modern journal that upholds its founding values, maintaining a commitment to supporting the medical profession by delivering high-quality and pertinent information essential to medical practice.
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