Hautecoeur Maeve, Zunzunegui Maria Victoria, Vissandjee Bilkis
Departamento de Medicina Social y Preventiva, Universidad de Montreal, Canadá.
Salud Publica Mex. 2007 Mar-Apr;49(2):86-93. doi: 10.1590/s0036-36342007000200003.
To identify and document access barriers to health care services for the indigenous population in Rabinal, Guatemala.
A qualitative analysis was used. Over a period of two months, 20 semi-directional interviews were conducted in Rabinal, Guatemala: 15 with Achis indigenous people and five with health professionals. A focus group was done to verify the information collected during the individual interviews. The qualitative analysis was based on the transcription of interviews and the compilation of the data.
Barriers to access are inter-relational. Geographic barriers include distance and a significant lack of means of transportation. Economic barriers are the cost of office visits and medicine. Among the cultural barriers, the Spanish language is an obstacle. Indigenous people have other concepts of medicine and treatments and they complain on occasion of abuse by health professionals. At the same time, health professionals recognize that the trauma of the civil war is still present and criticize the poor living conditions and the lack of resources.
Health care services in Rabinal are inadequate and insufficient for responding to the needs of the local population.
识别并记录危地马拉拉维纳尔地区原住民获得医疗服务的障碍。
采用定性分析方法。在危地马拉的拉维纳尔地区，历时两个月进行了20次半定向访谈：15次访谈阿吉斯原住民，5次访谈医疗专业人员。开展了一次焦点小组讨论以核实个人访谈期间收集到的信息。定性分析基于访谈记录和数据汇编。
获得医疗服务的障碍相互关联。地理障碍包括距离远以及交通方式严重匮乏。经济障碍是门诊和药品费用。在文化障碍方面，西班牙语是一个阻碍。原住民对医学和治疗有其他观念，他们有时会抱怨受到医疗专业人员的虐待。与此同时，医疗专业人员认识到内战的创伤依然存在，并批评当地恶劣的生活条件和资源匮乏。
拉维纳尔地区的医疗服务不足以满足当地居民的需求。
