, Vallejo, USA.
Global Health. 2019 Feb 20;15(1):16. doi: 10.1186/s12992-019-0454-1.
The objective of this article is to describe the state of North, Central, South American and Caribbean (Pan-American) indigenous health. The second objective is to identify recommendations for optimal healthcare and research strategies to achieve indigenous health equity. Current health disparities continue to present between indigenous populations and general populations. Research foci of Pan-American indigenous health center on health outcomes for chronic and acute disease as well as presence of indigenous in data sets. Research is both qualitative and quantitative. Recommendations to improve indigenous health in effort of health equity are variable yet feasible. Stronger epidemiology, continued cohesive Pan-American global strategies, better research alignment with emphasis to quality and comprehensive metric analyses in healthcare delivery are all avenues to improve the health of the indigenous. Research and healthcare delivery on the Pan-American indigenous must be maximized for optimal results, must be representative of the indigenous communities, must be implemented in best practice and must introduce sustainable healthcare delivery for Pan-American indigenous health equity.
本文旨在描述北美、中美、南美和加勒比地区(泛美)的原住民健康状况。第二个目标是确定实现原住民健康公平的最佳医疗保健和研究策略的建议。当前,原住民与一般人群之间仍然存在健康差距。泛美原住民健康研究的重点是慢性病和急性病的健康结果以及数据集中原住民的存在。研究既有定性的也有定量的。为了实现健康公平,改善原住民健康的建议是多种多样的,但也是可行的。加强流行病学研究,继续保持泛美地区的全球战略凝聚力,更好地调整研究方向,注重医疗保健提供方面的质量和综合指标分析,这些都是改善原住民健康的途径。为了取得最佳效果,必须最大限度地开展泛美原住民的研究和医疗服务,必须代表原住民社区,必须以最佳实践实施,并必须为泛美原住民的健康公平提供可持续的医疗服务。