van Holst Pellekaan S M, Clague L
School of Biotechnology and Biomolecular Sciences, University of New South Wales, Kensington, NSW 2052, Australia.
Postgrad Med J. 2005 Oct;81(960):618-24. doi: 10.1136/pgmj.2004.031377.
The health of indigenous Australians remains well below that of non-indigenous Australians and indigenous peoples in Canada and New Zealand. Although recent planning has initiated many outstanding, culturally appropriate programmes with indigenous involvement, health statistics only reflect marginal improvement in recent years. It is crucial that positive programmes are sustained with appropriately directed funding. An approach that includes respect for the emotional and spiritual wellbeing of Australia's indigenous peoples will assist to redress some of the disadvantage caused by dispossession of country, language, and identity. It is clear from many programmes that are in place, that primary health care delivered locally through community controlled organisations, will minimise the impact of serious illnesses that currently threaten whole families and communities. Westernized health care systems are slow to learn from indigenous peoples in Australia and other places, that maintenance of wellness, not management of illness should be the goal.
澳大利亚原住民的健康状况仍远低于非原住民以及加拿大和新西兰的原住民。尽管最近的规划启动了许多出色的、符合文化习俗的项目,且有原住民参与其中,但健康统计数据仅显示近年来有小幅改善。至关重要的是,要通过适当定向的资金持续推行积极的项目。一种尊重澳大利亚原住民情感和精神福祉的方法,将有助于纠正因失去土地、语言和身份认同而造成的一些不利状况。从许多现有项目中可以明显看出,通过社区控制组织在当地提供初级卫生保健,将最大限度地减少目前威胁整个家庭和社区的严重疾病的影响。西方化的医疗保健系统很难从澳大利亚和其他地方的原住民那里学到,应该以维持健康而非治疗疾病为目标。