Kelvin Kong 教授讨论了他在耳病方面的工作、代表性和文化安全的重要性，以及他对土著医疗保健未来的乐观态度。

在与 Lowitja 研究所合作的《澳大利亚医学杂志》土著健康特刊前夕，Kelvin Kong 教授作为嘉宾

Professor Kelvin Kong is a Worimi man who works on Awabakal and Worimi Country at John Hunter Hospital and John Hunter Children’s Hospital in Newcastle. He is an otolaryngology, head and neck surgeon and a Fellow of the Royal Australasian College of Surgeons.

Kelvin Kong 教授是沃里米人，在纽卡斯尔的约翰亨特医院和约翰亨特儿童医院的阿瓦巴卡尔和沃里米乡村工作。他是一名耳鼻喉科、头颈外科医生，也是澳大利亚皇家外科学院院士。

In 2023, Professor Kong was named NAIDOC Person of the Year for his work with First Nations children at risk of hearing loss due to otitis media, which affects 40–85% of children in First Nations communities.

2023 年，孔教授因其对因中耳炎而面临听力损失风险的原住民儿童所做的工作而被评为 NAIDOC 年度人物，中耳炎影响着原住民社区 40-85% 的儿童。

“I’m extremely honoured by such a recognition, but I think for me it’s really about the recognition of the paucity of ear disease and this dichotomy we’re living in with health in this country,” said Professor Kong.

孔教授说：“获得这样的认可我感到非常荣幸，但我认为对我来说，这实际上是对耳病的罕见以及我们在这个国家生活在健康方面的二分法的认识。”

Professor Kong regularly travels to remote Australia to provide ear, nose and throat services to First Nations people, where he sees firsthand the dichotomy in health outcomes for ear disease in this country.

孔教授定期前往澳大利亚偏远地区，为原住民提供耳鼻喉服务，在那里他亲眼目睹了这个国家耳病健康结果的两极分化。

“It’s allowed me to highlight ear disease in this country. It’s certainly allowed me to push for an agenda amongst my fraternity, but also amongst the government to really try and bring awareness and also make change in this area.”

“这让我能够强调这个国家的耳病。这无疑让我能够在兄弟会和政府之间推动一项议程，真正尝试提高人们的认识并在这一领域做出改变。”

“I’m so glad I’m in Australia because of the care that we can get in this country. And by the same token, when I look at the ear disease rates that we have, the non-First Nations population have a completely different prevalence and incidence and outcome from ear disease than First Nations kids,” said Professor Kong.

“我很高兴我在澳大利亚，因为我们可以在这个国家得到照顾。出于同样的原因，当我观察我们的耳病发病率时，发现非原住民人群的耳病患病率、发病率和结果与原住民儿童完全不同，”孔教授说。

“And yet this is in the same hospitals, in the same health district, in the same country that we live in, that we’re seeing this real distinct difference.”

“然而，在我们居住的同一个医院、同一个卫生区、同一个国家，我们看到了这种真正明显的差异。”

Professor Kong emphasised the importance of culturally safe health care for First Nations peoples, with a need for representation at all levels of health care to ensure that health care is “by the community, for the community”.

孔教授强调了文化安全的医疗保健对原住民的重要性，各级医疗保健机构需要有代表性，以确保医疗保健“由社区提供，为社区服务”。

“Health to us is how do we make our kids successful and out of hospitals? How do we make sure that our mental and spiritual wellbeing is very encompassed? How do we make sure that we progress in society to be able to live the dreams that we want to dream and be a part of and engaged in society? And that’s being healthy and well,” said Professor Kong.

“健康对我们来说就是如何让我们的孩子成功并走出医院？我们如何确保我们的精神和精神健康得到全面保障？我们如何确保我们在社会中取得进步，能够实现我们想要梦想的梦想，并成为社会的一部分并参与社会？这就是健康，”孔教授说。

“We’ve got to make sure that in all levels of hospital, there is actually appropriate representation that engages people in the right manner. But also those who are making decisions … about health outcomes need to have a lens of First Nations people when they’re looking at that.”

“我们必须确保各级医院实际上都有适当的代表，以正确的方式吸引人们。但那些正在做出有关健康结果的决定的人在考虑这一问题时也需要有原住民的视角。”

“My KPIs should be how many of the community am I getting access to? How many of these kids are actually getting through school safely? How many of these kids are actually getting all these issues addressed so they can actually push through school and get their employment and jobs they need? That’s the KPI I want to see because that’s what the community would hold me to expectation on.”

“我的 KPI 应该是我能接触到多少社区？这些孩子中有多少真正安全地完成学业？这些孩子中有多少人真正解决了所有这些问题，以便他们能够真正完成学业并找到他们需要的工作和工作？这就是我希望看到的 KPI，因为这就是社区对我的期望。”

Despite the challenges and disparities that continue, Professor Kong is optimistic about the progress being made in terms of representation and the discourse happening in health spaces.

尽管挑战和差异仍然存在，孔教授对健康领域的代表性和话语方面所取得的进展感到乐观。

“The amount of females coming through surgery is amazing, the amount of First Nations doctors coming through medical schools is just amazing. Some of the kids I mentor at high schools are just incredible, and I’m sure I’ve seen our first president in some of the kids I’m mentoring.”

“接受手术的女性数量是惊人的，来自医学院的原住民医生的数量也是惊人的。我在高中指导过的一些孩子真是令人难以置信，我确信我在我指导的一些孩子身上看到了我们的第一任总统。”

“[There is] optimism in me in the way in which we’re changing things, and certainly we see that in the engagement around hospitals and engagement around research and engagement around ethics. There’s a lot more conversations and engagement of First Nations people, which I think is wonderful.”

“我对我们改变事物的方式持乐观态度，当然，我们在围绕医院的参与、围绕研究的参与和围绕道德的参与中看到了这一点。原住民之间有更多的对话和参与，我认为这很棒。”

Professor Kong is one of the guest editors of the MJA Special Issue on First Nations Health, which is in partnership with the Lowitja Institute, Australia’s only national First Nations Community Controlled Research Institute.

孔教授是 MJA 原住民健康特刊的客座编辑之一，该特刊与澳大利亚唯一的国家原住民社区控制研究所 Lowitja 研究所合作。

“I give a really a high accolade to the MJA for this issue of First Nations health. It’s been put together by a bunch of amazing, talented First Nations people,” said Professor Kong.

“我对 MJA 在原住民健康问题上给予高度赞扬。它是由一群令人惊叹、才华横溢的原住民人士组建的，”孔教授说。

“Editors love the control of their magazines and their publications. But for them to be able to say, ‘You know what, this is something that we think is important and we want you guys to lead this,’ is pretty special.”

“编辑喜欢控制他们的杂志和出版物。但对他们来说，‘你知道吗，我们认为这很重要，我们希望你们来领导这件事’，这是非常特别的。”

Listen to the podcast with Professor Kelvin Kong.

收听 Kelvin Kong 教授的播客。

Read the Special Issue of the MJA.

阅读 MJA 特刊。

Subscribe to the free InSight+ weekly newsletter here. It is available to all readers, not just registered medical practitioners.

在此订阅免费的 InSight+ 每周通讯。它适用于所有读者，而不仅仅是注册医生。