为土著人民实施医疗保健脱殖:系统审查
Camila A Kairuz Santos1,2, Kate Hunter3,4,5, Keziah Bennett-Brook3,4
1Guunu-maana (Heal), The George Institute for Global Health, International Towers 3, 300 Barangaroo Ave, Sydney, NSW, 2000, Australia. ckairuzsantos@georgeinstitute.org.au.
脱殖民医疗保健涉及将土著知识和实践与西方医学相结合. 这一系统性审查强调了社区治理,整体护理和公平作为解决土著人民健康不平等问题的关键.
科学领域:
- 全球健康 全球健康
- 原住民健康研究研究.
- 健康 公平 研究 健康 公平 研究
背景情况:
- 西方生物医学系统的殖民根源使土著社区的健康不平等持续存在.
- 脱殖民医疗被认为是必要的,但缺乏明确的实际应用.
- 这项研究系统地审查了全球关于医疗保健实践脱殖民主义的文献.
研究的目的:
- 系统地审查全球文献,并探索脱殖民医疗保健的实际意义.
- 确定脱殖民医疗保健实践的关键要素,障碍,促进者和结果.
主要方法:
- 在多个数据库和来源中系统地搜索已出版和灰色文献.
- 由两个审查员进行独立选和数据提取.
- 使用诱导性主题方法进行定性数据分析,并与土著社区成员进行输入.
主要成果:
- 来自全球不同地区的15项定性研究符合纳入标准.
- 关键要素包括社区治理,整体护理,关联性,讲故事,反思性实践和以殖民化为基础的护理.
- 报告的结果包括增加患者满意度,赋权和信任,以公平和共享权力为基础.
结论:
- 脱殖民医疗保健需要承认殖民主义,并促进西方和土著知识体系之间的公平.
- 真正的社区伙伴关系和土著领导力对于开发文化一致的卫生服务至关重要.
- 实施非殖民化的医疗保健与土著的健康,福祉和愈合范式保持一致.
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