Alarcón Ana María, Astudillo Paula, Barrios Sara, Rivas Edith
Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Rev Med Chil. 2004 Sep;132(9):1109-14. doi: 10.4067/s0034-98872004000900013.
Intercultural health is becoming an emergent topic in the design of health care programs for Mapuche people of Chile. This process faces important challenges such as the scarce theoretical support about the meaning of intercultural health and their practical consequences for providers and clients.
To explore the perception in providers and Mapuche clients about intercultural health.
A survey performed in 11 counties with the highest concentration of Mapuche people, of the IX region of Chile. The perception about the development of a new health policy specially designed for Mapuche patients was surveyed in 399 Mapuche patients and 64 providers of primary health care centers.
Mapuche clients considered, as the main regional challenges, the indifference and discrimination of health care teams towards Mapuche patients, aggravated by the indifference of authorities. Providers considered that the main problem was a lack of knowledge about Mapuche culture and skills to deal with this ethnic group. Patients and providers agreed on the need to use Mapuche dialect in health care attentions, to coordinate actions with traditional healers and to accept ethnical therapeutic practices.
There is scarce agreement between providers and Mapuche clients about the need for an special intercultural health policy, its contents, and the regional conditions for its implementation and development.
跨文化健康正成为智利马普切人医疗保健项目设计中一个新兴的话题。这一过程面临着重大挑战，比如关于跨文化健康的意义及其对提供者和服务对象的实际影响的理论支持匮乏。
探讨提供者和马普切服务对象对跨文化健康的认知。
在智利第九大区马普切人最集中的11个县进行了一项调查。对399名马普切患者和64名初级医疗保健中心的提供者就一项专门为马普切患者设计的新卫生政策的发展认知进行了调查。
马普切服务对象认为，主要的地区性挑战是医疗团队对马普切患者的冷漠和歧视，而当局的冷漠则使情况更加严重。提供者认为主要问题是缺乏对马普切文化的了解以及与该族群打交道的技能。患者和提供者一致认为在医疗服务中需要使用马普切方言，需要与传统治疗师协调行动，并接受民族治疗方法。
在提供者和马普切服务对象之间，对于是否需要一项特殊的跨文化健康政策、其内容以及实施和发展的地区条件，几乎没有达成共识。
