Griffith Health Institute, Griffith University, Brisbane, Queensland, Australia.
Qual Health Res. 2011 Dec;21(12):1719-28. doi: 10.1177/1049732311418124. Epub 2011 Aug 15.
Evidence-based approaches to health care have been difficult to achieve in Indigenous populations across the world, a situation which has contributed to the significant health disparities found in this group. One reason for the inadequacy of evidence-based health interventions is that empirical knowledge tends to be organized around professional disciplines that are grounded in Western ways of knowing. In this article we describe events that have led to more appropriate research methods in Australia, and the resulting changes in the research community. The principles that have guided Australian research policy development might not yet be fully matured, but the improvements we have experienced over the last several decades have gone a long way toward acknowledging the significant disparities that affect Indigenous people and the role of researchers in addressing this issue.
循证医疗方法在世界范围内的原住民群体中难以实现，这种情况导致了该群体中存在显著的健康差异。循证健康干预措施不足的一个原因是，实证知识往往围绕着以西方认知方式为基础的专业学科组织。在本文中，我们描述了导致澳大利亚采用更合适的研究方法的事件，以及研究界由此产生的变化。指导澳大利亚研究政策制定的原则可能尚未完全成熟，但我们在过去几十年中所经历的改进，在很大程度上承认了影响原住民的重大差异，以及研究人员在解决这一问题中的作用。
