Biles Jessica Maree, Biles Brett James
School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Albury Campus, Thurgoona, NSW, Australia.
Contemp Nurse. 2010;37(1):92-5. doi: 10.5172/conu.2011.37.1.092.
The health and well-being of Indigenous Australians has been identified as a critical problem with high levels of chronic illness, morbidity and mortality compared to other Australian population groups. However, as health professionals we continue to discuss and theorise components of Indigenous health addressing issues in a piecemeal way. The concept of primary health care has been shown to have an independent effect on improving the health status of populations and having the ability to reduce health inequalities. Countries with well developed primary care systems have healthier populations and reduced health care costs (Macinko et al., 2003, p. 407). Primary health care combined with a community holistic approach and the defined use of student centered learning in Indigenous education has the potential to provide optimal health care and thus be an effective way to improve Indigenous Community health (McMurray, 2003, p. 296).
与其他澳大利亚人群相比,澳大利亚原住民的健康与福祉已被视为一个关键问题,他们患有慢性病、发病率和死亡率都很高。然而,作为健康专业人士,我们仍在以零散的方式讨论原住民健康问题的各个组成部分并进行理论分析。初级卫生保健的概念已被证明对改善人群健康状况具有独立作用,并有能力减少健康不平等现象。拥有完善初级保健系统的国家,其人口更健康,医疗成本也更低(Macinko等人,2003年,第407页)。将初级卫生保健与社区整体方法以及在原住民教育中明确使用以学生为中心的学习相结合,有可能提供最佳医疗保健,从而成为改善原住民社区健康的有效途径(McMurray,2003年,第296页)。