CONCLUSION
The implementation of cultural safety measurement is inherently an effort that must be done together, between Indigenous and non-Indigenous Peoples and health systems. While the
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This paper has sought to propose an Indigenous Cultural Safety Measurement Framework as a critical tool for revealing the impacts of colonialism and racism, past and present, on health system performance and Indigenous Peoples’ health and wellness. The Framework can also be used to monitor progress on achieving cultural safety in health care. Given that data and measurement have historically been used against Indigenous Peoples to justify continued oppression and colonialism, this paper urges some caution for those interested in using such a framework for measuring cultural safety. At the same time, if health systems and Indigenous Peoples do not collaborate to advance systemic measurement of cultural safety, the historic and ongoing invisibility of Indigenous Peoples and health inequities, and the masking of the very real problem of anti-Indigenous racism in health care, will persist.
A conceptual framework for Indigenous cultural safety measurement 27
