Introduction

Disadvantage is a complex and multifaceted concept with varying classifications across the literature.1–3 In the context of this article, disadvantaged and marginalised groups are broadly defined as those that have less power, opportunities, rights or resources relative to others in society. These groups may also be less involved in, or excluded from, mainstream society (e.g. through under-representation in various economic, political and social activities).4,5 It is important that pharmacists are aware of patients who may fit into one or more disadvantaged groups, and that they provide support and implement strategies in their practice to optimise healthcare delivery.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Recognise that there are health disparities in Australia
  • Discuss the supply and demand factors that influence healthcare use
  • Explain how pharmacists can implement strategies to enable equity of care in their practice.

Competency Standards addressed (2016): 1.1, 1.4, 1.5, 2.1, 2.2, 3.1, 3.5, 3.6.

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Disadvantaged groups and health disparities 

Groups that have been socially marginalised or disadvantaged in Australia include: Aboriginal and Torres Strait Islander peoples; people living with a disability or mental illness; sexual and gender minorities; and individuals experiencing poverty or low socioeconomic circumstances.6–9 These groups experience a greater burden of chronic diseases,10 have higher mor

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