完成循环:实现独立公平——由/为土著居民建立的与文化相关的保健公平模式

B. Downey
{"title":"完成循环:实现独立公平——由/为土著居民建立的与文化相关的保健公平模式","authors":"B. Downey","doi":"10.25071/2291-5796.59","DOIUrl":null,"url":null,"abstract":"Health equity is defined in ways that espouse values of social justice and benevolence and is held up as an ideal state achievable by all. However, there remains a troubling gap in health outcomes between Indigenous Peoples and other Canadians. Public health stakeholders aspire to ‘close the gap’ and ‘level the gradient’ to reduce inequities though the implementation of various health equity focused strategies. The Truth and Reconciliation Commission of Canada echoes this objective and calls for self-determining structural reform to address health inequity for Indigenous Peoples. This paper proposes an IND-equity model as a reconciliation inspired response that upholds Indigenous self-determination and is informed by diverse Indigenous ways of knowing.  When adopting this model, the goal is to complete the circle and foster wholistic balance. Further development and implementation of an IND-equity model requires advocacy by all health practitioners. Nurses hold potential to lead and engage in structural reform through an Indigenous health ally role.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"46 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2020-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":"{\"title\":\"COMPLETING THE CIRCLE: TOWARDS THE ACHIEVEMENT OF IND-EQUITY- A CULTURALLY RELEVANT HEALTH EQUITY MODEL BY/FOR INDIGENOUS POPULATIONS\",\"authors\":\"B. Downey\",\"doi\":\"10.25071/2291-5796.59\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Health equity is defined in ways that espouse values of social justice and benevolence and is held up as an ideal state achievable by all. However, there remains a troubling gap in health outcomes between Indigenous Peoples and other Canadians. Public health stakeholders aspire to ‘close the gap’ and ‘level the gradient’ to reduce inequities though the implementation of various health equity focused strategies. The Truth and Reconciliation Commission of Canada echoes this objective and calls for self-determining structural reform to address health inequity for Indigenous Peoples. This paper proposes an IND-equity model as a reconciliation inspired response that upholds Indigenous self-determination and is informed by diverse Indigenous ways of knowing.  When adopting this model, the goal is to complete the circle and foster wholistic balance. Further development and implementation of an IND-equity model requires advocacy by all health practitioners. Nurses hold potential to lead and engage in structural reform through an Indigenous health ally role.\",\"PeriodicalId\":354700,\"journal\":{\"name\":\"Witness: The Canadian Journal of Critical Nursing Discourse\",\"volume\":\"46 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-06-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Witness: The Canadian Journal of Critical Nursing Discourse\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25071/2291-5796.59\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Witness: The Canadian Journal of Critical Nursing Discourse","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25071/2291-5796.59","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4

摘要

卫生公平的定义是支持社会正义和仁慈的价值观,并被视为所有人都能实现的理想状态。然而,土著人民和其他加拿大人之间在健康结果方面仍然存在令人不安的差距。公共卫生利益攸关方渴望通过实施各种以卫生公平为重点的战略来“缩小差距”和“消除差距”,以减少不平等现象。加拿大真相与和解委员会赞同这一目标,并呼吁进行自决的结构改革,以解决土著人民在保健方面的不平等问题。本文提出了一种土著平等模式,作为一种和解启发的回应,它支持土著自决,并以多种土著认识方式为依据。当采用这种模式时,目标是完成循环并培养整体平衡。进一步发展和实施indi -equity模式需要所有卫生从业人员的倡导。护士有潜力通过土著保健同盟的作用来领导和参与结构改革。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPLETING THE CIRCLE: TOWARDS THE ACHIEVEMENT OF IND-EQUITY- A CULTURALLY RELEVANT HEALTH EQUITY MODEL BY/FOR INDIGENOUS POPULATIONS
Health equity is defined in ways that espouse values of social justice and benevolence and is held up as an ideal state achievable by all. However, there remains a troubling gap in health outcomes between Indigenous Peoples and other Canadians. Public health stakeholders aspire to ‘close the gap’ and ‘level the gradient’ to reduce inequities though the implementation of various health equity focused strategies. The Truth and Reconciliation Commission of Canada echoes this objective and calls for self-determining structural reform to address health inequity for Indigenous Peoples. This paper proposes an IND-equity model as a reconciliation inspired response that upholds Indigenous self-determination and is informed by diverse Indigenous ways of knowing.  When adopting this model, the goal is to complete the circle and foster wholistic balance. Further development and implementation of an IND-equity model requires advocacy by all health practitioners. Nurses hold potential to lead and engage in structural reform through an Indigenous health ally role.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信