政策中土著健康和土著权利的社会决定因素:问题代表性的范围审查和分析

IF 0.8 Q3 ANTHROPOLOGY International Indigenous Policy Journal Pub Date : 2019-05-21 DOI:10.18584/IIPJ.2019.10.2.4
E. George, T. Mackean, F. Baum, Matt Fisher
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引用次数: 23

摘要

尽管有证据表明土著健康和土著健康与平等权利的社会决定因素的重要性,但这些因素在政策中并不总是得到承认。该范围审查通过系统搜索确定了关于公共政策和土著居民健康的研究。确定的主要主题包括持续殖民化的影响;政府在实现权利方面的核心作用;以及为土著人民提供主流服务的困难,包括对土著问题的象征性态度和过去同化政策的遗留问题。我们的问题表征方法是由Bacchi(2009)指导的。审查的结果表明,土著健康和土著权利的社会决定因素可能在政策言辞中得到承认,但它们并不总是政策执行中行动的优先事项。
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Social Determinants of Indigenous Health and Indigenous Rights in Policy: A Scoping Review and Analysis of Problem Representation
Despite evidence showing the importance of social determinants of Indigenous health and Indigenous rights for health and equity, they are not always recognised within policy. This scoping review identified research on public policy and Indigenous health through a systematic search. Key themes identified included the impact of ongoing colonisation; the central role of government in realising rights; and the difficulties associated with the provision of mainstream services for Indigenous Peoples, including tokenism towards Indigenous issues and the legacy of past policies of assimilation. Our approach to problem representation was guided by Bacchi (2009). Findings from the review show social determinants of Indigenous health and Indigenous rights may be acknowledged in policy rhetoric, but they are not always a priority for action within policy implementation.
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CiteScore
1.90
自引率
0.00%
发文量
12
审稿时长
16 weeks
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