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追溯印度原住民群体中基于医疗政策的基础设施与健康信念主导实践之间的差距:一项叙事性综述。

Tracing the Disparity Between Healthcare Policy-Based Infrastructure and Health Belief-Lead Practices: a Narrative Review on Indigenous Populations of India.

机构信息

Department of Community Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

出版信息

J Racial Ethn Health Disparities. 2024 Dec;11(6):3572-3583. doi: 10.1007/s40615-023-01810-3. Epub 2023 Oct 3.

DOI:10.1007/s40615-023-01810-3
PMID:37787946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11564410/
Abstract

Most Indian tribes have limited access to healthcare facilities and rely heavily on traditional healing practices. This narrative review aimed to identify the disparities in the implementation of healthcare services and in accessing and availing these services by the indigenous population in India. We also have tried to throw light on the plausibility in strengthening the efficiency and efficacy of the public health system, by utilizing the available resources to its maximum potential, so that there will be a measurable outcome in the health status of these populations in India, coherently with the relevant sustainable development goals (SDG). The evidence from published literatures supports the fact that the disparity exists in the health status of indigenous populations in India as compared to the general populations. It emphasizes the need to address the key determinants such as the lack of knowledge, traditional healing practices and poor utilization of healthcare services provided to them. Various factors such as accessibility to healthcare resources, traditional healing practices, lack of awareness regarding healthcare services and schemes provided by the government, insufficient data regarding their issues and challenges and cultural and language barriers worsen the health status of indigenous people. However, our review reiterates that a well-structured and sustainable policy with reframed infrastructure and administration of healthcare system might bring a positive change in the health status of indigenous population in India.

摘要

大多数印第安部落获得医疗保健设施的机会有限,严重依赖传统的治疗方法。本叙述性综述旨在确定印度土著居民在获得和利用医疗服务方面实施医疗服务的差异。我们还试图强调通过最大限度地利用现有资源来提高公共卫生系统的效率和效果的合理性,以便在印度这些人群的健康状况方面取得可衡量的结果,与相关的可持续发展目标(SDG)相一致。已发表文献的证据支持这样一个事实,即与一般人群相比,印度土著居民的健康状况存在差异。它强调需要解决知识缺乏、传统治疗方法和对提供给他们的医疗服务利用率低等关键决定因素。各种因素,如获得医疗保健资源的机会、传统的治疗方法、对政府提供的医疗服务和计划的认识不足、关于他们的问题和挑战的数据不足以及文化和语言障碍,使土著人民的健康状况恶化。然而,我们的综述重申,一个结构良好和可持续的政策,加上重新构建的基础设施和医疗体系管理,可能会给印度土著居民的健康状况带来积极的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/05e5b6c915e9/40615_2023_1810_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/7643c2049790/40615_2023_1810_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/c04c1064caf4/40615_2023_1810_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/05e5b6c915e9/40615_2023_1810_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/7643c2049790/40615_2023_1810_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/c04c1064caf4/40615_2023_1810_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de5/11564410/05e5b6c915e9/40615_2023_1810_Fig3_HTML.jpg

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本文引用的文献

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Perceptions and use of traditional African medicine in Lubumbashi, Haut-Katanga province (DR Congo): A cross-sectional study.卢本巴希省(刚果民主共和国)哈克塔格省居民对传统非洲医学的认知与使用:一项横断面研究。
PLoS One. 2022 Oct 18;17(10):e0276325. doi: 10.1371/journal.pone.0276325. eCollection 2022.
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Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access.
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Mental health research on scheduled tribes in India.印度在册部落的心理健康研究。
Indian J Psychiatry. 2020 Nov-Dec;62(6):617-630. doi: 10.4103/psychiatry.IndianJPsychiatry_136_19. Epub 2020 Dec 12.
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Working together in Aboriginal health: a framework to guide health professional practice.原住民健康工作:指导卫生专业人员实践的框架。
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