1 University of Minnesota, Duluth, MN, USA.
2 University of Washington, Seattle, WA, USA.
J Transcult Nurs. 2018 Jul;29(4):354-362. doi: 10.1177/1043659617731817. Epub 2017 Sep 20.
Introduction/Importance: Given the promise of integrating traditional healing practices into primary care, we sought to examine the influence of primary care providers' racial concordance and Indigenous patients' ethnic salience on traditional healing treatment decisions.
Using a descriptive comparative design with an online clinical case vignette, we measured provider decision making via a 5-point Provider Acceptance of Traditional Healing-Referral and Consult questionnaire. Aggregated results of the main effects and interactional effects were analyzed using a 2 × 2 analysis of variance between-subjects design.
The main effect for patient racial concordance on the dependent variable was significant, F(1, 89) = 5.71, p = .02.
Provider-patient racial concordance does increase the providers' likelihood of consulting with and referring patients to traditional healing practices, regardless of the patient's ethnic salience.
All health care providers require training in traditional healing practices for Indigenous persons as guided by the cultural safety framework.
引言/重要性：鉴于将传统治疗方法融入初级保健的前景，我们试图研究初级保健提供者的种族一致性和土著患者的民族凸显度对传统治疗决策的影响。
使用带有在线临床案例简述的描述性对比设计，我们通过 5 分制提供者接受传统治疗-转介和咨询问卷来衡量提供者的决策。使用 2×2 被试间方差分析对主要效应和交互效应的综合结果进行分析。
患者种族一致性对因变量的主要效应显著，F(1, 89)=5.71，p=.02。
无论患者的民族凸显度如何，提供者与患者的种族一致性确实增加了提供者咨询和转介患者接受传统治疗的可能性。
所有医疗保健提供者都需要按照文化安全框架接受针对土著居民的传统治疗实践培训。
