Center for Children & Young People, Faculty of Health, Southern Cross University, Gold Coast, QLD 4225, Australia.
Gnibi College, Southern Cross University, Gold Coast, QLD 4225, Australia.
Int J Environ Res Public Health. 2021 Apr 21;18(9):4399. doi: 10.3390/ijerph18094399.
Despite decades of evidence showing that institutional and interpersonal racism serve as significant barriers to accessible healthcare for Aboriginal and Torres Strait Islander Peoples, attempts to address this systemic problem still fall short. The social determinants of health are particularly poignant given the socio-political-economic history of invasion, colonisation, and subsequent entrenchment of racialised practices in the Australian healthcare landscape. Embedded within Euro-centric, bio-medical discourses, Western dominated healthcare processes can erase significant cultural and historical contexts and unwittingly reproduce unsafe practices. Put simply, if Black lives matter in healthcare, why do Aboriginal and Torres Strait Islander Peoples die younger and experience 'epidemic' levels of chronic diseases as compared to white Australians? To answer this, we utilise critical race perspectives to theorise this gap and to de-center whiteness as the normalised position of 'doing' healthcare. We draw on our diverse knowledges through a decolonised approach to promote a theoretical discussion that we contend can inform alternative ways of knowing, being, and doing in healthcare practice in Australia.
尽管数十年来的证据表明，制度和人际种族主义是原住民和托雷斯海峡岛民获得可及性医疗保健的重大障碍，但解决这一系统性问题的努力仍然不足。鉴于澳大利亚医疗保健领域中存在着入侵、殖民化以及随后种族化做法的社会政治经济历史，健康的社会决定因素尤为明显。在以欧洲为中心、以生物医学为导向的话语中，西方主导的医疗保健流程可能会抹去重要的文化和历史背景，并在不知不觉中复制不安全的做法。简单地说，如果在医疗保健中黑人生命很重要，那么为什么与澳大利亚白人相比，原住民和托雷斯海峡岛民的寿命更短，并且患有“流行”水平的慢性疾病？为了解决这个问题，我们利用批判种族理论来阐述这一差距，并将白人作为“做”医疗保健的正常化位置去中心。我们通过一种非殖民化的方法利用我们多样化的知识，以促进理论讨论，我们认为这可以为澳大利亚医疗保健实践中的另类认知、存在和实践方式提供信息。
