Colonial Legacies and Collaborative Action: Improving Indigenous Peoples’ Health Care in Canada

IF 0.8 Q3 ANTHROPOLOGY
L. Wylie, S. McConkey, A. Corrado
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引用次数: 8

Abstract

Indigenous people experience significant health disparities compared to non-Indigenous people, which are exacerbated by less accessible and poorer quality health care services. This research aimed to understand the specific barriers to health care that Indigenous patients and their families face, as well as to explore promising practices and strategies for improving the responsiveness of health services to the needs of Indigenous people. Through qualitative interviews with Indigenous and non-Indigenous health care and social services providers, we identified a range of challenges and successful approaches, and developed recommendations for improving policy and practice to address the gaps in culturally safe health care services. Our study shows that many of the barriers Indigenous people face when accessing health care are rooted in the broader social determinants of health, such as poverty, racism, housing, and education. These are complex problems that are outside of the traditional scope of health care practice. However, this study has also demonstrated that many barriers to equitable care actually stem from within the health care system itself. We found that health care gaps were often attributable to poorly funded on-reserve health care services and culturally unsafe off-reserve services.  Attitudes and practices among those working in health care and gaps in coordination between mainstream and Indigenous services are challenges related to the way the health care system operates. Solutions are needed that address these issues. Given the multifaceted nature of access barriers, strategies to improve health services for Indigenous people and communities require a comprehensive and systemic approach.  
殖民遗产和合作行动:改善加拿大土著人民的卫生保健
与非土著人民相比,土著人民在健康方面存在巨大差距,而卫生保健服务较难获得和质量较差又加剧了这种差距。这项研究的目的是了解土著病人及其家属在获得保健服务方面面临的具体障碍,并探索有希望的做法和战略,以提高保健服务对土著人民需求的响应能力。通过对土著和非土著保健和社会服务提供者的定性访谈,我们确定了一系列挑战和成功的方法,并制定了改进政策和做法的建议,以解决文化安全保健服务方面的差距。我们的研究表明,土著人在获得医疗保健时面临的许多障碍源于更广泛的健康社会决定因素,如贫困、种族主义、住房和教育。这些都是传统医疗保健实践范围之外的复杂问题。然而,这项研究也表明,许多公平护理的障碍实际上源于卫生保健系统本身。我们发现,医疗保健差距往往归因于资金不足的保留地内医疗保健服务和文化上不安全的保留地外服务。卫生保健工作人员的态度和做法以及主流服务和土著服务之间的协调差距是与卫生保健系统运作方式有关的挑战。需要解决这些问题的解决方案。鉴于获取障碍的多面性,改善土著人民和社区保健服务的战略需要采取全面和系统的办法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
12
审稿时长
16 weeks
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