Lewis Melissa E, Myhra Laurelle L
J Health Care Poor Underserved. 2018;29(3):1083-1107. doi: 10.1353/hpu.2018.0081.
There is increased evidence for the effectiveness of integrated behavioral health care, however, it is unknown if integrated care is effective or culturally appropriate for Indigenous populations-the population with the largest health disparities in the nation.
We conducted a literature review to analyze the state of Indigenous health care focusing specifically on the appropriateness of integrated care in this population.
Integrated care could improve access to comprehensive care, quality of care, and may be a promising model to reduce health disparities for Indigenous people.
Indigenous people experience significant barriers to effective health care services that require strategic, systemic, and collaborative interventions to close these gaps. Integrated care appears to be an appropriate solution but additional research is needed to determine this. Further, any health intervention must be carried out in collaboration with tribal communities and nations to ensure success.
越来越多的证据表明综合行为健康护理是有效的，然而，对于原住民（这个国家健康差距最大的人群）而言，综合护理是否有效或在文化上是否合适尚不清楚。
我们进行了一项文献综述，以分析原住民医疗保健状况，特别关注该人群综合护理的适宜性。
综合护理可以改善获得全面护理的机会、提高护理质量，并且可能是减少原住民健康差距的一个有前景的模式。
原住民在获得有效的医疗保健服务方面面临重大障碍，需要采取战略、系统和协作性干预措施来缩小这些差距。综合护理似乎是一个合适的解决方案，但需要更多研究来确定这一点。此外，任何健康干预都必须与部落社区和民族合作开展，以确保取得成功。
