医疗保健有没有医疗保健? 原住民患者的问责问题
1Provost Post-Doctoral Fellow, Waakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
HealthcarePapers
|July 7, 2023
概括
这篇评论讨论了加拿大对土著人民的历史性和持续的医疗种族主义. 它为患者提出投诉提供了指导方针,并敦促医疗保健专业人员采取文化谦卑.
科学领域:
- 土著健康土著健康
- 医学伦理 医学伦理
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 对土著人民的系统性和医疗性种族主义是加拿大记录下来的问题.
- 历史上的偏见影响了土著社区的医疗保健经验.
- 解决这些差异需要专注于医疗系统内的文化响应.
研究的目的:
- 讨论影响土著人民的加拿大医疗保健中种族主义的普遍性.
- 为土著患者提供指导方针,向许可委员会报告治疗不充分的情况.
- 倡导将文化能力,安全和谦卑融入医疗保健实践.
主要方法:
- 这是一个评论,而不是一项研究研究;因此,没有采用特定的方法.
- 内容基于对现有证据和关于土著健康和种族主义的论述的审查.
- 该方法涉及叙述性讨论和可行的指导方针的建议.
主要成果:
- 种族主义和偏见在原住民的历史和当前医疗保健系统中很明显.
- 建议为土著患者提出针对医疗保健专业人员提出投诉的实际指南.
- 评论强调医疗保健专业人员需要采用文化安全实践.
结论:
- 医疗保健专业人员必须将文化能力,安全和谦逊融入他们的实践中.
- 应该制定结构,使土著患者能够有效地表达关切.
- 改善土著人民的医疗保健公平需要系统变革和文化意识.
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