Kolewaski Carrie D, Yeates Karen
School or Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
J Nephrol. 2009 Sep-Oct;22(5):571-9.
Chronic kidney disease (CKD) is a well-documented and growing problem among Indigenous populations in North America and Australia. Further, urgent research is needed to develop appropriate interventions to slow development and progression of CKD and to improve outcomes in Indigenous* communities affected by the burden of kidney disease. For effective research to occur, researchers need to develop and maintain a multifaceted and collaborative approach to working with Indigenous research subjects and their communities. We review two fundamental concepts or paradigms which may cause misinformation or confusion in conducting health research in Indigenous populations. First, we examine systems of health knowledge and discuss the divergences between investigator and Indigenous perspectives, and how they interface in a research context. Secondly, we review the concept of research methods for Indigenous populations, to highlight ways to develop a collaborative and culturally inclusive health research process.
慢性肾脏病（CKD）在北美和澳大利亚的原住民中是一个有充分记录且日益严重的问题。此外，迫切需要开展研究以制定适当的干预措施，减缓CKD的发展和进程，并改善受肾脏疾病负担影响的原住民社区的治疗效果。为了进行有效的研究，研究人员需要制定并维持一种多方面协作的方法，与原住民研究对象及其社区合作。我们审视了两个基本概念或范式，它们可能在针对原住民开展健康研究时导致错误信息或混淆。首先，我们考察健康知识体系，探讨研究者与原住民观点之间的差异，以及它们在研究背景下如何相互作用。其次，我们回顾针对原住民群体的研究方法概念，以突出建立协作性且具有文化包容性的健康研究过程的方法。
