Laing P, Pomare E
Department of Sociology and Social Work, Victoria University of Wellington, New Zealand.
Health Policy. 1994 Jul-Aug;29(1-2):143-56. doi: 10.1016/0168-8510(94)90012-4.
Maori participation in the 1991 health care reforms is considered against the background of their involvement in health reforms since the turn of the century. Throughout this period Maori have consistently sought autonomous health care. Traditional indigenous healers have provided healing for Maori as they have for other indigenous people, such as Aborigines, Pacific Islands people and Canadian Indians. Maori, including western health care professionals, submitted that healers should be included among the health care services personnel providing core health services. They argued this on the basis of their health status and of their rights with respect to the Treaty of Waitangi. The influence of the 1977 WHO resolution, concerning the role of traditional healers in attaining 'Health for All by the Year 2000', is considered in relationship to Maori health initiatives and how the 1991 health care reforms may impact upon them, and the bicultural policy that has guided Maori health developments over the last decade. Evaluating Maori health and the health care reforms in terms of Maori participation, the status of traditional indigenous healers and the future of Maori health initiatives leaves Maori in no doubt that they have some hard work ahead to maintain the position they held prior to the reforms.
毛利人参与1991年医疗改革的情况，是在自世纪之交以来他们参与医疗改革的背景下进行考量的。在这一时期，毛利人一直寻求自主的医疗保健。传统的本土治疗师一直为毛利人提供治疗，就像他们为其他原住民，如澳大利亚原住民、太平洋岛屿居民和加拿大印第安人提供治疗一样。毛利人，包括西方医疗保健专业人员，提出治疗师应被纳入提供核心医疗服务的医疗保健服务人员之中。他们基于自身的健康状况以及与《怀唐伊条约》相关的权利提出了这一观点。1977年世界卫生组织关于传统治疗师在实现“2000年人人享有健康”目标中的作用的决议的影响，与毛利人的健康倡议以及1991年医疗改革可能对其产生的影响，以及过去十年指导毛利人健康发展的双语政策相关联进行了考量。从毛利人的参与、传统本土治疗师的地位以及毛利人健康倡议的未来等方面评估毛利人的健康和医疗改革，毛利人毫无疑问地认识到，为了维持改革前他们所拥有的地位，他们还有一些艰巨的工作要做。
