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Open Access Addressing Health Inequities Through Indigenous Involvement in Health-Policy Discourses Comment contrer les inégalités en santé en faisant participer les Autochtones aux discours politiques en matière de santé

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Abstract:

Although the health of Indigenous peoples is affected by structural inequities, interventions to address health inequities are often focused locally rather than at a structural level where they could play a transformative role. Addressing structural health inequities by involving Indigenous peoples in health-policy discourses can serve to address power imbalances that are implicit in policy-making processes. Using an analytical framework based on interdisciplinary perspectives rooted in critical and decolonizing approaches, the author presents a discussion of theoretical considerations for including Indigenous peoples in policy discourses as a means of addressing health inequities. She argues that the involvement of Indigenous peoples in health-policy discourses has the potential to mitigate epistemological colonialism, push forward an agenda of decolonization, and address health inequities caused by inequitable systems of power. The article concludes with suggestions for future research and implications for nursing and health professionals of addressing structural inequities through attention to policy discourses.

French
Les inégalités structurelles ont un effet sur la santé des Autochtones, mais les interventions menées pour s'attaquer à ces inégalités en matière de santé sont souvent axées sur les collectivités plutôt que sur la structure où elles pourraient jouer un rôle transformateur. S'attaquer aux inégalités structurelles en matière de santé en faisant participer les Autochtones aux discours politiques relativement aux soins peut permettre de contrer les déséquilibres sur le plan du pouvoir qui font partie intégrantes des processus d'élaboration des politiques. À l'aide d'un cadre analytique reposant sur des perspectives interdisciplinaires issues des approches critiques et de décolonisation, l'auteure analyse les considérations théoriques visant à inclure les Autochtones dans les discours politiques pour contrer les inégalités en santé. Elle soutient que la participation des Autochtones aux discours politiques en santé pourrait réduire le colonialisme épistémologique, faire avancer un programme de décolonisation et venir à bout des inégalités en santé causées par des systèmes de pouvoir inéquitables. L'article se termine avec des suggestions de recherches à effectuer et des commentaires concernant l'implication des professionnels des sciences infirmières et de la santé dans l'élimination des inégalités structurelles en portant attention aux discours politiques.

Keywords: ABORIGINAL HEALTH; DECISION-MAKING; DISCOURSE AND SOCIAL STRUCTURE; EQUITY; HEALTH; HEALTH DISPARITIES; HEALTH POLICY; INDIGENOUS; INEQUITY

Document Type: Research Article

Publication date: June 1, 2012

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