Departamento de Ciencias de la Salud, Universidad Técnica Particular de Loja (UTPL), San Cayetano alto s/n, 1101608, Loja, CP, Ecuador.
Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Belgium.
BMC Complement Med Ther. 2021 Feb 18;21(1):65. doi: 10.1186/s12906-021-03234-0.
The new paradigm of intercultural policies focuses on rethinking the common public culture. In Ecuador, the "Buen Vivir" plan seeks to incorporate the ancestral medical knowledge, experience and beliefs of traditional healers into the formal health services. This study explores views on the formal health system from the perspective of the healers belonging to the Kichwa and Shuar ethnicities in the South of Ecuador.
A qualitative study with a phenomenological approach was performed. Focus groups were conducted in three locations in Southern Ecuador. Shuar, Kichwa and Mestizo ethnic groups were included in the research.
Eleven focus groups with a total of 110 participants belonging to the Shuar, Kichwa and Mestizo ethnic groups participated in the study. Six themes were created through analysis: 1) conflicts with health professionals, 2) acceptance of traditional healers, 3) respect, 4) work as a team, 5) environment and patient care, and 6) salary and recognition.
This study indicated the perceived barriers compromising respectful collaboration between health staff and traditional healers from an indigenous perspective. Power inequalities and a historically unidirectional relationship and, in addition, differences in health beliefs, seem to create misunderstandings regarding each other's approach when faced with health and disease. However, insight in these barriers can create opportunities towards collaboration, which will have a positive effect on patient confidence in one or both systems and support continuity between traditional healers and the formal health system.
跨文化政策的新范式侧重于重新思考共同的公共文化。在厄瓜多尔，“美好生活”计划旨在将传统治疗师的祖传医学知识、经验和信仰纳入正规卫生服务。本研究从厄瓜多尔南部的基奇瓦和绍阿族传统治疗师的角度探讨了对正规卫生系统的看法。
采用现象学方法进行定性研究。在厄瓜多尔南部的三个地点进行了焦点小组讨论。研究包括绍阿、基奇瓦和梅斯蒂索人。
共有 110 名来自绍阿、基奇瓦和梅斯蒂索族群的参与者参加了 11 个焦点小组的研究。通过分析创建了六个主题：1）与卫生专业人员的冲突，2）接受传统治疗师，3）尊重，4）团队合作，5）环境和患者护理，6）工资和认可。
本研究从土著视角表明了阻碍卫生工作者与传统治疗师之间相互尊重的合作的感知障碍。权力不平等以及历史上的单向关系，再加上健康信念的差异，在面对健康和疾病时，似乎对彼此的方法产生了误解。然而，了解这些障碍可以为合作创造机会，这将对患者对一个或两个系统的信心产生积极影响，并支持传统治疗师与正规卫生系统之间的连续性。
