Medical Journal of Australia最新文献

{"title":"Decolonising Indigenous Health Research Requires Redefining Sex, Sexuality and Gender","authors":"Shakara Liddelow-Hunt,&nbsp;Yamatji,&nbsp;James H. L. Hill,&nbsp;Ngarrindjeri,&nbsp;Kate Daglas,&nbsp;Gunditjmara,&nbsp;Kaiwarr Clancy,&nbsp;Wakka Wakka,&nbsp;Madi Day,&nbsp;Murri,&nbsp;Alistair Ott,&nbsp;Wiradjuri","doi":"10.5694/mja2.70320","DOIUrl":"10.5694/mja2.70320","url":null,"abstract":"<p>LGBTQA+SB (lesbian, gay, bisexual, transgender, intersex, queer, asexual, Sistergirl and Brotherboy) participants are rarely identified in Aboriginal and Torres Strait Islander health research data, resulting in persistent gaps in the literature. In this article, we briefly explore the implications of LGBTQA+SB erasure in Aboriginal and Torres Strait Islander health research for decolonisation, policy and practice. We outline approaches to collecting quantitative data, examples of Indigenous research that did identify LGBTQA+SB participants and potential challenges for data collection. Ultimately, we argue that decolonisation requires re-thinking how we define sex, sexuality and gender, unsettling Western biomedical norms that are pervasive in health research.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.70320","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Structural Neglect: Using Evidence to Strengthen Primary Health Care Systems, Policies and Programs for Aboriginal and Torres Strait Islander Men","authors":"Kootsy Canuto,&nbsp;Celina Gaweda,&nbsp;James Smith,&nbsp;Karla J. Canuto","doi":"10.5694/mja2.70319","DOIUrl":"https://doi.org/10.5694/mja2.70319","url":null,"abstract":"<p>Despite decades of policy focus, Aboriginal and Torres Strait Islander men still face primary health care systems that are misaligned with their cultural and social needs, leading to low use. A strong body of evidence shows engagement improves when care is culturally safe, gender-responsive and community-led, yet these are inconsistently implemented. Short-term funding and fragmented commissioning undermine continuity, workforce stability and holistic care. Reliance on pilot programs reflects risk aversion and limits reform. Redesigning commissioning to ensure long-term funding, a stable workforce, stronger governance and learning-focused evaluation is essential. Continued delay perpetuates inequity, making reform an ethical and political imperative.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.70319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capturing the Benefits of Clinical Quality Registries","authors":"Taryn Bessen,&nbsp;Stephen McDonald","doi":"10.5694/mja2.70322","DOIUrl":"https://doi.org/10.5694/mja2.70322","url":null,"abstract":"<p>Clinical quality registries (CQRs) systematically collect information about the safety and quality of health care, and through risk-adjusted and benchmarked reports drive improvements in patient care. Most commonly however, the information and insights from CQRs remain within clinical units and/or specialties rather than being embedded within organisational governance. We describe the key elements of organisational infrastructure that are essential to translate CQR data into system-wide quality improvement at a health service and jurisdictional level.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.70322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Ambition to Action: Closing Policy, Equity and Implementation Gaps in the Australian Cancer Plan's ‘Enhanced Consumer Experience’","authors":"Carla Thamm,&nbsp;Elise Button,&nbsp;Oluwaseyifunmi A. Agbejule,&nbsp;Reegan Knowles,&nbsp;Karen van Gorp,&nbsp;Mark B. Pinkham,&nbsp;Meinir Krishnasamy,&nbsp;Alexandra L. McCarthy,&nbsp;Raymond J. Chan","doi":"10.5694/mja2.70317","DOIUrl":"10.5694/mja2.70317","url":null,"abstract":"<p>Despite advances in cancer treatment, many Australians experience fragmented, poorly coordinated care, particularly those who are most disadvantaged. Strategic Objective 2 of the Australian Cancer Plan commits to improving consumer experience through person-centred, culturally safe, coordinated care across the continuum, yet implementation remains inconsistent. This perspective article examines key challenges, including siloed services, inequitable access to navigation and supportive care and poorly actioned experience measures. We propose scalable solutions: patient decision support tools, equity-oriented navigation and real-time experience measures. Realising this vision requires sustained investment strategies and system integration.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediabetes: The Looming Burden for Australia","authors":"Gideon Meyerowitz-Katz,&nbsp;Sarah N. Parry,&nbsp;Tien-Ming Hng,&nbsp;N. Wah Cheung,&nbsp;Alice A. Gibson,&nbsp;Emily J. Hibbert,&nbsp;Kean-Seng Lim,&nbsp;Eugen Molodysky,&nbsp;Glen Maberly,&nbsp;Louise A. Baur,&nbsp;Stephen M. Twigg","doi":"10.5694/mja2.70284","DOIUrl":"10.5694/mja2.70284","url":null,"abstract":"<p>Diabetes is fast becoming the key health concern for Australia, with a substantial national increase in prevalence and an estimated 10% or more of adults living with the disease. Evidence shows that over half of this disease burden can be prevented by identifying prediabetes and providing appropriate interventions early. However, Australia currently has no accurate estimates of prediabetes prevalence, and no clear strategy on how to act when prediabetes is identified in clinical practice. This article lays out the problem, with potential solutions for government and the community.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.70284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Driving Implementation-Focused Change for Gender Equity in Medical Leadership: A Consensus-Based Priority-Setting Approach","authors":"Belinda Garth,&nbsp;Jenny Proimos,&nbsp;Thuy Vy Nguyen,&nbsp;Sally Cross,&nbsp;Sarah Whitelaw,&nbsp;Helena J. Teede","doi":"10.5694/mja2.70314","DOIUrl":"10.5694/mja2.70314","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify evidence-informed drivers of sustainable systems change and actionable organisational priorities for advancing gender equality in medical leadership, aligned with national and international policy mandates, through the perspectives of key medical interest-holders.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study Type&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Co-production implementation approach using mixed-methods, modified Delphi surveys and a Nominal Group Technique workshop. Reporting follows the REPRISE guideline for priority-setting of health research.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Setting, Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;From September 2021 to August 2023; online interviews, member survey, pre-workshop survey and a hybrid workshop with the Australian Medical Association (AMA). Purposive sample of AMA members, including doctors in training, doctors and medical leaders across all Australian states and territories.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Main Outcome Measures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Consensus-based priorities to inform a co-produced implementation plan for gender equality in medical leadership.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Seventeen medical leaders were interviewed and 542 members completed the survey. Both consistently prioritised: (i) women's representation in leadership; (ii) inclusive and transparent recruitment; (iii) mentoring and networking; (iv) flexibility and family-friendly policies; and (v) gender targets and quotas. Triangulated findings identified eight internal and three external opportunity areas. A priority-setting workshop with 22 leaders generated 10 consensus priorities: five internal organisational (gender equity education; transparent leadership selection including gender targets; monitoring and reporting; promoting respect and monitoring behaviour at meetings/events; and leadership development for emerging women leaders) and five external (committed leadership for gender equity in medicine; advocacy for data and reporting; flexible career pathways; recognition of mentoring; and strategies to address the gender pay gap).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Through a collaborative, evidence-informed process, we coproduced consensus-based priorities to advance gender equality in medical leadership with a leading national professional association that influences health policy. This structured approach is adapta","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13642974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmaceutical Industry Payments to Patient Groups in Australia: A Longitudinal Analysis of a Decade of Disclosures","authors":"Ashleigh Hooimeyer,&nbsp;Annim Mohammad,&nbsp;Alice Fabbri,&nbsp;Lisa Parker,&nbsp;Kellia Chiu,&nbsp;Barbara Mintzes","doi":"10.5694/mja2.70294","DOIUrl":"10.5694/mja2.70294","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To analyse the extent and patterns of pharmaceutical industry funding of patient groups in Australia between 2013 and 2022, including the proportion of groups' income derived from industry payments in 2022.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study Type&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Longitudinal observational study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Setting, Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Australia, 1 January 2013–31 December 2022. Public disclosures of payments to patient groups from pharmaceutical companies who were members of Medicines Australia (the trade organisation for the prescription pharmaceutical industry in Australia) between 2013 and 2022 and from non-member companies with at least five registered prescription products in Australia.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Main Outcome Measures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Value (in Australian dollars) of reported payments to patient groups from the pharmaceutical industry and trends in payments by clinical area and over time. For patient groups that received industry funding in 2022, we also examined how this compared with their total income for that year.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Between 2013 and 2022, 45 pharmaceutical companies disclosed $95.7 million in funding to 390 patient groups. Funding was highly skewed, with 13 groups receiving 47.9% ($45,856,940/$95,724,493) of the total payments. The median funding over the decade was $34,374 (interquartile range [IQR], $8228–$122,898) per group. The total reported payments decreased by $293,246 (95% confidence interval, $125,489–$461,006) per year, but some clinical areas, such as oncology, saw an increase. For groups that received funding in 2022, the median proportion of income derived from industry was 2.2% (IQR, 0.3%–9.3%) and nine groups had over half their income from industry.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Industry funding of patient groups was widespread but skewed towards a small subset of groups and clinical areas. This may shift the focus of advocacy efforts towards certain conditions that align with current industry interests. Although further research is still needed on links between funding and patient group priorities, current disclosure measures may be insufficient to manage risks and access to other funding sources and additional safeguards may be needed to maintain independence.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Timely Detection and Optimal Management of Chronic Wet Cough in Aboriginal Children Across Australia From the Perspectives of Carers of Aboriginal Children: A Qualitative Study","authors":"Gloria T. Y. Lau,&nbsp;Pam Laird,&nbsp;Robyn Aitken,&nbsp;Melanie Barwick,&nbsp;Liam Bedford,&nbsp;Emily R. Bowden,&nbsp;Jamie Everingham,&nbsp;Angela Fuery,&nbsp;Reece Griffin,&nbsp;Neha Jain,&nbsp;Mina Kinghorn,&nbsp;Renae Knapp,&nbsp;Gabrielle B. McCallum,&nbsp;Peter Morris,&nbsp;Richard Norman,&nbsp;Peter C. Richmond,&nbsp;Aarti Saiganesh,&nbsp;Slade Sibosado,&nbsp;Cameron Taylor,&nbsp;Maree Toombs,&nbsp;Roz Walker,&nbsp;Joan Wilson,&nbsp;Anne B. Chang,&nbsp;André Schultz","doi":"10.5694/mja2.70313","DOIUrl":"10.5694/mja2.70313","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify barriers and facilitators to the timely detection and optimal management of chronic wet cough (CWC) in children from the perspectives of carers, across multiple, diverse First Nations Australian communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Type</h3>\u0000 \u0000 <p>Qualitative participatory action research study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting and Participants</h3>\u0000 \u0000 <p>Eight Australian communities across three states and territories. Semi-structured interviews and focus groups with 167 parents and carers of Aboriginal children were conducted between May 2021 and July 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Barriers to and facilitators of detection and management of CWC in Aboriginal children in a primary care setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key barriers identified included inadequate health promotion, the common perception that CWC is normal and high turnover among health staff, leading to mistrust of newly onboarded health staff. The overarching facilitator identified was knowledge dissemination through health promotion, delivered in person by Aboriginal health staff using culturally secure resources, supplemented by posters placed in the community and the use of radio and social media. Individual communities expressed varied preferences regarding specific health promotion methods and designs. Communities valued staff who had spent considerable time within the community, allowing for the development of trust and rapport.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The barriers and facilitators to detecting and managing CWC in children were generally consistent across the settings we studied. Implementation approaches to facilitate care require tailoring to local settings. Further, to reduce identified barriers for the detection and management of CWC in children, the incorrect perception that CWC is normal must be addressed and the potential harms of staff turnover need to be recognised.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13630464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Chrononutrition for Managing Shift Workers' Health: A Narrative Review and Future Directions.","authors":"Yan Yin Phoi, Maxine P Bonham, Jillian Dorrian, Michelle Rogers, Alison M Coates","doi":"10.5694/mja2.70324","DOIUrl":"https://doi.org/10.5694/mja2.70324","url":null,"abstract":"<p><p>Shift workers have temporal eating patterns characterised by irregular food intake and prolonged periods of eating with more energy intake occurring in night-time hours during night shifts. These patterns of eating against a backdrop of shift work exacerbate circadian misalignment, which impairs cardiometabolic profiles and increases the risk of developing overweight and obesity, diabetes and cardiovascular diseases. Limiting food intake at night and being mindful about food choices is beneficial on night shifts, but further research is required to determine appropriate timing and composition of food intake. Some food intake at night may be necessary in supporting individual alertness and performance at work and should be considered when recommending that shift workers minimise food intake at night. At the individual level, shift workers may benefit from minimising night-time food intake during night shifts. At the organisational level, healthy food consumption habits should be encouraged by improving access to healthy food at night, implementing scheduled meal breaks and providing information about healthy eating guidelines to employees. Medical professionals and Accredited Practising Dietitians (APD) should be aware of the impact of circadian misalignment on metabolic health and consider this when educating patients on adhering to healthy eating guidelines.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":"e70324"},"PeriodicalIF":6.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-Designed Best Practice Principles for the Care of Fathers and Non-Birthing Parents Exposed to Perinatal Trauma: A Participatory Action Research Study.","authors":"Alka Kothari, Dale Trevor, Glen Quinn, Jane Geltch, Joel Dulhunty, Helen Skouteris, Leonie K Callaway","doi":"10.5694/mja2.70316","DOIUrl":"10.5694/mja2.70316","url":null,"abstract":"<p><strong>Objective: </strong>To co-design best practice principles (BPPs) for providing compassionate, holistic support to fathers and non-birthing parents exposed to perinatal trauma.</p><p><strong>Design: </strong>Participatory action research methodology to generate qualitative data.</p><p><strong>Setting, participants: </strong>Face-to-face workshops were conducted across the Greater Brisbane area and online workshops were held for national consultation from 23 April 2024 to 27 May 2025. Fathers and non-birthing parents with lived experience of perinatal trauma and a multidisciplinary team of health and community care professionals were included. Separate consumer (n = 11) and professional (n = 30) reference groups were established to authentically represent lived experience and professional perspectives on caring for birthing families. The co-designed BPPs were subsequently validated in National Workshops with consumers from diverse backgrounds (n = 74).</p><p><strong>Results: </strong>The co-design process generated 24 initial themes, which were iteratively consolidated by consensus into four BPPs: (1) compassionate and inclusive engagement; (2) policy and legislative reform; (3) education and learning opportunities; and (4) mental health screening and support for fathers and non-birthing parents. Accompanying practice and policy recommendations for each BPP were developed.</p><p><strong>Conclusions: </strong>Fathers, non-birthing parents and healthcare and community care professionals co-designed a suite of BPPs to address gaps in perinatal healthcare following exposure to pregnancy and birth trauma. Fathers and non-birthing parents expressed a strong need to be formally recognised as stakeholders and recipients of perinatal healthcare services. The BPPs offer a co-designed framework for broader systemic reform and an actionable roadmap for equitable, trauma-informed and culturally responsive care for all parents, emphasising the need for further translational research and the national integration of inclusive perinatal healthcare services.</p>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"224 10","pages":"e70316"},"PeriodicalIF":6.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}