Sherwood Juanita, Edwards Tahnia
Aboriginal Health, Centre for Remote Health, Joint Centre of Flinders University and Charles Darwin University, Alice Springs, Northern Territory, Australia.
Contemp Nurse. 2006 Sep;22(2):178-90. doi: 10.5172/conu.2006.22.2.178.
Aboriginal health continues to be in crisis in Australia although expenditure has increased in service provision, strategic planning, research and policy development over the last thirty years. This paper recommends that a shift must occur to make Aboriginal health improvement a reality. This shift requires the decolonising of Aboriginal health so that the experts in Aboriginal health, namely Aboriginal people, can voice and action initiatives that address their health issues. This shift is from the current western dominant approach that continues to manage Aboriginal health in its linear spectrum of illness and disease. Aboriginal people view health differently; their contexts for health issues are also diverse requiring a more holistic and informed response.
在澳大利亚,尽管过去三十年里在服务提供、战略规划、研究和政策制定方面的支出有所增加,但原住民健康状况仍处于危机之中。本文建议必须做出转变,以使改善原住民健康成为现实。这种转变要求对原住民健康进行去殖民化,以便原住民健康方面的专家,即原住民自身,能够提出并推动解决他们健康问题的倡议。这种转变是从当前西方主导的方法转向一种新的方法,当前的方法继续在疾病的线性范围内管理原住民健康。原住民对健康的看法不同;他们健康问题的背景也多种多样,需要更全面、明智的应对措施。