主题演讲：土著文化安全与我有什么关系？.pdf

1、What is Indigenous Cultural Safety andWhat does it have to do with ME?Clinical Trials Ontario Conference 2024Janet Smylie MD MPH FCFP FCAHS FRSCDirector,Well Living House Action Research Centre and Staff Physician,St.Michaels Hospital Professor,Dalla Lana School of Public Health and DFCM,Faculty of

2、Medicine,University of TorontoTier 1 Canada Research Chair in Advancing Generative Health Services for Indigenous PopulationsTodays Presentation Indigenous cultural safety why it is relevant,what it is,what it is not;Reflecting on“Gold Standards”the need for humility,accountability,and epistemic sel

3、f-location approaching diversity of scientific methodologies with humility,respect,practicality,and shared long-term goals(ie.the desire to optimize human and global benefits of our work)Tailoring RCT methods to address Indigenous health issues(as identified and prioritized by Indigenous peoples)an

4、example Why Should I Be Concerned about Indigenous Cultural Safety?Persistent Indigenous/non-Indigenous Health Inequities in Canadapeer reviewed studies have revealed IMR rates that are 190%higher for First Nations compared to non-First Nations3 and 360%higher for Inuit inhabited areas compared to n

5、on-Inuit inhabited areas4 Smylie,Lancet:2013Health and social services are commonly of limited social value for First PeoplesTruth and Reconciliation Commission Call to Action:HealthMake the links between current Indigenous health disparities and Canadian governmental policiesEstablish measureable g

6、oals and close the gap in health outcomesRecognize and address distinct health needs of Inuit,Mtis and off-reserve Aboriginal peopleFund Aboriginal healing centres to address the physical,mental,emotional and spiritual harms caused by residential schoolsRecognize and use Aboriginal healing practices