Indigenous Peoples experience the greatest health inequities in Canada and other colonized countries; yet, they are routinely excluded from health-related policy decisions. Those advocating for Indigenous health equity are often left wrestling with the question: What constitutes, and what can foster, meaningful involvement of Indigenous Peoples in the contemporary health policy climate? Twenty (n = 20) in-depth, open-ended interviews with Indigenous and non-Indigenous leaders in health and health policy were conducted with a view to understanding what constitutes meaningful involvement of Indigenous Peoples in health policy decision-making. The analysis suggests meaningful involvement requires attuning to underlying power dynamics inherent in policy making and taking action to decolonize and transform the policy system itself. Based on these findings, the authors offer a framework for meaningful involvement.

中文翻译：

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有意义参与的变：一个使土著人民有意义地参与卫生政策决策的框架

在加拿大和其他殖民地国家，土著人民的健康状况最不平等；但是，它们通常被排除在与健康相关的政策决策之外。那些主张土著人健康平等的人经常会为以下问题而苦恼：什么构成土著人民有意义地参与当代卫生政策环境？与土著和非土著领导人在健康和卫生政策方面进行了二十次（n = 20）深度不限成员名额访谈，以了解什么构成了土著人民有意义地参与卫生政策决策。分析表明，有意义的参与需要削弱政策制定中固有的潜在动力动力，并采取行动去殖民和改变政策体系本身。