对土著人民的健康公平需要说出真相:一项定性研究
Ieta D'Costa1, Lynette Russell2, Karen Adams1
1School of Medicine, Nursing and Health Science, Monash University, Clayton, Melbourne, VIC 3800, Australia.
International journal of nursing studies
|April 11, 2025
概括
非土著医疗保健工作者往往缺乏了解殖民化和种族主义如何影响土著健康公平. 教育必须纳入讲真话和土著观点,以解决这些系统性问题并促进健康公平.
科学领域:
- 土著健康土著健康
- 医疗保健 公平 医疗保健 公平
- 健康的社会决定因素
背景情况:
- 全球行动计划呼吁解决土著人民的健康不平等问题.
- 讲述关于殖民化的真相对于实现健康平等至关重要.
- 澳大利亚医疗保健的生物医学模式对土著人民来说不足.
研究的目的:
- 探索非土著医疗保健专业人员与土著人民接触的看法和经验.
- 了解为土著人口提供公平医疗保健的障碍和促进因素.
主要方法:
- 澳大利亚一家医院对49名卫生专业人员进行了定性采访.
- 对音频录制的采访数据进行反思性主题分析.
- 参与者招聘于2020年1月启动.
主要成果:
- 四个主题出现了:对殖民的看法,土著人民和知识,种族主义和医疗保健不平等.
- 许多参与者不知道殖民化和种族主义如何导致当前的健康不平等.
- 有限的理解源于痛苦和与殖民历史的脱离.
结论:
- 医疗保健教育需要加强讲真话的方法,以实现健康公平.
- 建议采用整合艺术和人文学科的协作教育方法.
- 战略必须涉及土著人民,并培养盟友关系,以解决殖民意识形态和促进反种族主义.
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