Department of Management, School of Social Science and Public Policy, King's College London, United Kingdom.
Int J Health Serv. 2010;40(4):719-42. doi: 10.2190/HS.40.4.i.
The health of Aboriginal people is significantly worse than that of the rest of the Australian population. Aboriginal community-controlled health organizations live with uncertainty in terms of funding, and the amount of money spent on indigenous people through mainstream health services is less than that spent on the non-indigenous population, especially when the different needs of these two groups are taken into account. The Aboriginal population is small and widely dispersed, causing problems for policy and funding. This article provides an analysis of the network of health organizations in Victoria, with a specific focus on indigenous health, and analyzes the connections between mainstream and indigenous-specific health services. The research approach involved semi-structured interviews with informants from a range of health organizations within the state. This research illustrates the importance of Aboriginal community-controlled health organizations to the indigenous community. There is evidence that connections between the indigenous and mainstream health systems need to be further developed and strengthened to provide the indigenous population with a high-quality, culturally sensitive, and comprehensive health service.
原住民的健康状况明显劣于澳大利亚其他人口。原住民社区控制的卫生组织在资金方面存在不确定性，而通过主流卫生服务为原住民群体提供的资金少于为非原住民群体提供的资金，特别是在考虑到这两个群体的不同需求的情况下。原住民人口规模小且分布广泛，给政策和资金带来了问题。本文分析了维多利亚州的卫生组织网络，特别关注原住民健康，并分析了主流和特定于原住民的卫生服务之间的联系。研究方法包括对该州内一系列卫生组织的知情人士进行半结构化访谈。这项研究说明了原住民社区控制的卫生组织对原住民社区的重要性。有证据表明，需要进一步发展和加强原住民和主流卫生系统之间的联系，以为原住民群体提供高质量、文化敏感和全面的卫生服务。
