Kyoon Achan Grace, Eni Rachel, Kinew Kathi Avery, Phillips-Beck Wanda, Lavoie Josée G, Katz Alan
Children's Hospital Research Institute of Manitoba & Department of Community Health Sciences, Max Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Health Syst Reform. 2021 Jan 1;7(1):e1943814. doi: 10.1080/23288604.2021.1943814.
The First Nations in Manitoba, Canada, are calling for active recognition and incorporation of holistic traditional healing and medicine ways and approaches by the mainstream healthcare system that has hitherto tended to ignore all but biomedical approaches. This request for recognition requires elaboration on areas of opportunity for collaboration that could positively influence both Indigenous and allopathic medicine. We discuss pathways to an integrated healthcare system as community-based primary healthcare transformation. A community-based participatory research approach was used to engage eight Manitoba First Nations communities. One hundred and eighty-three (183) in-depth, semi-structured key informant interviews were completed in all communities. Grounded theory guided data analysis using NVivo 10 software. We learned that increased recognition and incorporation of traditional healing and medical methods would enhance a newly envisioned funded health system. Elders and healers will be meaningfully involved in the delivery of community-based primary health care. Funding for traditional healing and medicines are necessary components of primary health care. An overall respect for Indigenous health knowledge would aid transformation in community-based primary health care. Recognition of and respect for traditional healing, healers, medicines, therapies, and approaches is also recommended as part of addressing the legacy and intergenerational impact of assimilative policies including Indian residential schools as the Truth and Reconciliation Commission of Canada has stated in its Calls to Action.
加拿大曼尼托巴省的原住民呼吁主流医疗体系积极认可并纳入整体传统疗法及医学方法，而该体系迄今为止往往只注重生物医学方法，忽略了其他一切。这一认可请求需要详细阐述合作的机会领域，这些领域能够对原住民医学和对抗疗法医学产生积极影响。我们探讨了作为基于社区的初级医疗保健转型的综合医疗体系的途径。采用基于社区的参与性研究方法，与曼尼托巴省的八个原住民社区进行了合作。在所有社区共完成了183次深入的半结构化关键 informant 访谈。扎根理论指导使用NVivo 10软件进行数据分析。我们了解到，更多地认可和纳入传统疗法及医学方法将加强新设想的有资金支持的卫生系统。长者和治疗师将切实参与基于社区的初级医疗保健服务的提供。为传统疗法和药物提供资金是初级医疗保健的必要组成部分。对原住民健康知识的全面尊重将有助于基于社区的初级医疗保健的转型。正如加拿大真相与和解委员会在其行动呼吁中所指出的，认可和尊重传统疗法、治疗师、药物、疗法和方法也是解决包括印第安寄宿学校在内的同化政策的遗留问题和代际影响的一部分。
