Aboriginal community controlled health services
Book Chapter ResearchOnline@JCUAbstract
[Extract] Aboriginal community controlled health services (ACCHSs) are culturally appropriate, autonomous primary health services initiated, planned and governed by local Aboriginal communities through their elected Aboriginal board of directors. While they are predominantly funded by government, they are not government run. ACCHSs, or Aboriginal medical services as they are sometimes called, are the practical expression of Aboriginal self-determination in Aboriginal health. The ACCHS model of care predates and exemplifies the application of the Alma-Ata Declaration on Primary Health Care endorsed by the World Health Organization (WHO 1978). Aboriginal communities around Australia have been establishing community controlled services since 1971. There are now more than a hundred ACCHSs, operating across Australia in all states and territories. The present chapter summarises the structure of ACCHSs and their function in delivering comprehensive primary health care to Aboriginal people. It contextualises many of the current developments in Australian general practice within the preferred model of care to Aboriginal people. It also describes how GPs within ACCHSs make a contribution to Aboriginal health distinct from the contribution of those in private practice.
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General Practice in Australia: 2004
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978-0-642-82676-3
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19
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Department of Health and Ageing
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Canberra, ACT, Australia
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