Leveraging Culture to Address Health Inequalities Examples from Native Communities: Workshop Summary (2013) / Chapter Skim
Currently Skimming:
4 Cultural Sensitivity in Health Care Delivery and Research
4 Cultural Sensitivity in Health Care Delivery and Research
Pages 21-32
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 21... ...
Terry Maresca, medical director for the Snoqualmie tribe and clinical associate professor in the department of family medicine at the University of Washington School of Medicine, listed a number of programs that can serve as models for increasing the number of culturally aware clinicians and researchers. Benjamin Young, former dean of students at the University of Hawaii School of Medicine, described his extremely successful efforts to increase the number of Native health care practitioners in Hawaii and the Pacific Islands.
|
From page 22... ...
Walker focused in his presentation on a national model for mentorship to attract and retain Native Americans and ANs in health care delivery and biomedical research. The model is complicated by the diversity of places where AIs live.
|
From page 23... ...
The program currently has 17 Native mentors from across the United States, all at the associate professor level or higher. These mentors are serving 27 mentees, about half of whom are in premedical programs or in medical schools, with the other half in doctoral or postdoctoral programs.
|
From page 24... ...
The program holds an annual conference and focused workshops and has prepared individuals for national leadership roles. The relationships formed through the program are ongoing and go on indefinitely, because American Indians will continue to face difficult issues throughout their careers.
|
From page 25... ...
In dealing with issues such as birth, serious illness, or impending death, the community becomes the expert rather than the medical or nursing director. • In the Rural Human Services Program at the University of Alaska, Fairbanks, elders-in-residence conduct onsite and distance learning with health care professionals, including behavioral health aides, who are serving Native villages.
|
From page 26... ...
The third set of programs Maresca described are aimed at modifying work to fit the available workforce: • A program for dental health aide therapists in Alaska is designed to meet the needs of rural Native villages. Therapists receive 2 years of training and do not require a dental college degree, which has generated controversy with the American Dental Association.1 • A parallel program in California is taking the same approach with urban Native communities, which have equally high oral health disparities.
|
From page 27... ...
Finally, in the area of promoting culturally aware faculty and research, Maresca highlighted the following programs: • The University of Washington, the University of Minnesota, and other institutions serve as Native American Centers of Excellence to provide faculty development fellowships and seminars.
|
From page 28... ...
• The National American Research Centers for Health supports part nerships between tribes or tribally based organizations for research on Native health issues and faculty development. • The Center for Native Health Partnerships at Montana State Uni versity creates community-based participatory research links with all seven tribes in the state and supports the student pipeline.
|
From page 29... ...
senator Daniel Inouye, who was "a key person to know, especially for Native Americans." Since Young began working on the problem, more than 350 Native Hawaiian physicians have graduated from the University of Hawaii School of Medicine and are in practice throughout the islands. Key leadership positions in Hawaii, including director of health for the state of Hawaii, the chairs of several departments in the university, and directors of community health centers, are products of the program, Young stated.
|
From page 30... ...
That is what I have chosen to do." -- Arne Vainio Discussion Rosalina James, assistant professor in the department of bioethics and humanities at the University of Washington, asked about how to get Native Americans involved as researchers even when they do not have doctorates, because their knowledge of Native communities and health issues can
|
From page 31... ...
Such research will be able to examine the economic drivers that are pushing health care to become more value-based and outcomes-driven. Lisa Thomas, research scientist at the Alcohol and Drug Abuse Institute at the University of Washington, pointed to a project funded by the National Institute on Minority Health and Health Disparities, the Healing of the Canoe, which has community partners who are co-investigators on the project.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.