为土著人民开发综合医疗保健模型:来自关系系统范围审查的见解
Halina Clare1, Edmund Wedam Kanmiki2,3, Roxanne Bainbridge4
1Institute for Urban Indigenous Health (IUIH), 22 Cox Road, Windsor, QLD, Australia.
Journal of community health
|October 16, 2025
概括
综合医疗保健模型对土著健康差异有希望. 关键的成功因素包括社区领导力,文化相关性,伙伴关系和灵活的交付,以改善福祉.
科学领域:
- 土著健康土著健康
- 医疗保健的不平等 医疗保健的不平等
- 综合护理模式 综合护理模式
背景情况:
- 原住民之间的健康差异往往与殖民的持久影响有关.
- 综合医疗保健模式与土著整体健康观点保持一致,强调社区,文化和土地.
- 了解这些模型的开发和实施对于改善土著健康结果至关重要.
研究的目的:
- 系统地对土著社区综合医疗保健模式的文献进行范围审查.
- 确定影响这些医疗保健模型的开发和实施的关键因素.
主要方法:
- 使用四个数据库进行了系统的范围审查:科学网,PubMed,Scopus和ProQuest.
- 以土著方法论和社区需求为指导的文献搜索,专注于澳大利亚,加拿大,美国和新西兰.
- 包括的文章使用土著质量评估工具进行评估,并使用乔安娜·布里格斯研究所的融合综合方法进行分析.
主要成果:
- 19个出版物符合纳入标准,其中大多数来自澳大利亚 (53%) 和加拿大 (26%).
- 显而易见的兴趣急剧增加,在过去五年中发表的研究中有74%的研究.
- 确定的关键成功因素包括强有力的社区领导力,文化相关的方法,利益相关方伙伴关系,灵活的服务提供,积极的提供者和充足的资金.
结论:
- 对于土著人口来说,有效的综合医疗保健模式需要对社区所有权,文化适当性和灵活的服务提供给予战略关注.
- 解决已识别的关键因素对于提高土著人民的医疗保健和福祉至关重要.
- 方法的多样性凸显了综合护理的复杂性以及文化和环境因素的影响.
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