Waimānalo Health Center, Waimanalo, HI (MFO, LB).
University of Washington School of Social Work and Indigenous Wellness Research Institute, Seattle, WA (MS).
Hawaii J Health Soc Welf. 2023 Mar;82(3):72-77.
Native healing practitioners have been incorporated into health centers serving large populations of (Native Hawaiians). However, no studies have examined their impact. A community based participatory research study at Waimanalo Health Center from 2017 to 2019 examined the added value of integrating native healing practices into primary care, including whether there is acceptability of the integration, cultural connectedness due to integration, and empowerment for patients, providers, and staff. Semi-structured interviews were conducted by the research team with 24 patients, providers and staff, and community residents. Through content analysis, 5 themes emerged. The integration of native healing practices provides an alternative to western medicine, recalls ancestral knowledge, focuses on the whole person, generates increased disclosure leading to behavior change, and is central to a decolonizing process. The findings support the integration of native healing practices providing added value in primary care.
本土治疗从业者已经融入到为（夏威夷原住民）服务的大型医疗中心。然而，目前尚无研究考察他们的影响。2017 年至 2019 年，在怀马纳洛健康中心进行了一项社区参与式研究，考察了将本土治疗实践融入初级保健的附加价值，包括整合的可接受性、整合带来的文化联系，以及对患者、提供者和工作人员的赋权。研究团队通过半结构化访谈，对 24 名患者、提供者和工作人员以及社区居民进行了访谈。通过内容分析，出现了 5 个主题。本土治疗实践的融入提供了一种替代西医的方法，唤起了对祖先知识的记忆，关注整体的人，增加了披露从而导致行为改变，并且是去殖民化过程的核心。这些发现支持了在初级保健中融入本土治疗实践的附加价值。
