Fricke M
Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Int J Circumpolar Health. 1998;57 Suppl 1:719-24.
Equal access and participation issues are at the forefront of the current disability advocacy movement. Disabled people worldwide are demanding a change in attitudes and policies reflecting their inherent right as citizens to full participation in society. The inequalities faced by the Canadian Aboriginal community with disabilities are magnified by unique socioeconomic, political, environmental, and cultural barriers. The current rate of disability in the Canadian Aboriginal population (31%) is double the national rate. The existing system available to Aboriginal people with special needs has often resulted in an unaccountable and ineffective web of service delivery. This paper documents various aspects of the existing structure of service delivery and the potential barriers to independent living for adults with disabilities living in remote First Nations communities in Northern Manitoba, Canada. Possible advantages and drawbacks to service provision in health transfer from the federal government to First Nation control are explored.
平等获取与参与问题是当前残疾人权益倡导运动的核心。全球残疾人都在要求改变态度和政策，以体现他们作为公民充分参与社会的固有权利。加拿大原住民残疾人群体所面临的不平等状况，因独特的社会经济、政治、环境和文化障碍而被放大。加拿大原住民人口目前的残疾率（31%）是全国平均水平的两倍。现有的针对有特殊需求的原住民的体系，往往导致了一个缺乏问责且效率低下的服务提供网络。本文记录了加拿大曼尼托巴省北部偏远第一民族社区中，现有服务提供结构的各个方面以及成年残疾人独立生活可能面临的潜在障碍。探讨了从联邦政府向第一民族控制权进行医疗服务转移的可能利弊。
