University of Technology Sydney & St Vincent's Hospital Sydney, Australia.
Heart Lung Circ. 2012 Oct;21(10):639-43. doi: 10.1016/j.hlc.2012.07.005. Epub 2012 Sep 12.
The burden of cardiovascular disease for Indigenous people in Australia and New Zealand is high and reflects the failings of our health care system to meet their needs. Improving the hospital care for Indigenous people is critical in improving health outcomes. This paper provides the results from a facilitated discussion on the disparities in acute hospital care and workforce issues. The workshop was held in Alice Springs, Australia at the second Cardiac Society of Australia and New Zealand (CSANZ) Indigenous Cardiovascular Health Conference. Critical issues to be addressed include: addressing systemic racism; reconfiguring models of care to address the needs of Indigenous people; cultural competence training for all health professionals; increasing participation of Indigenous people in the health workforce; improving information systems and facilitating communication across the health care sector and with Indigenous communities.
澳大利亚和新西兰原住民的心血管疾病负担很高,这反映出我们的医疗保健系统未能满足他们的需求。改善原住民的医院护理对改善健康结果至关重要。本文提供了在澳大利亚爱丽丝泉举行的第二届澳大利亚和新西兰心脏病学会(CSANZ)原住民心血管健康会议上,就急性医院护理和劳动力问题的差异进行的专题讨论的结果。需要解决的关键问题包括:解决系统性种族主义;调整护理模式以满足原住民的需求;对所有卫生专业人员进行文化能力培训;增加原住民在卫生劳动力中的参与度;改善信息系统,并促进卫生保健部门内部以及与原住民社区之间的沟通。