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Perceptions of Ecuadorian indigenous healers on their relationship with the formal health care system: barriers and opportunities.
Bautista-Valarezo, Estefanía; Duque, Víctor; Verhoeven, Veronique; Mejia Chicaiza, Jorge; Hendrickx, Kristin; Maldonado-Rengel, Ruth; Michels, Nele R M.
Afiliação
  • Bautista-Valarezo E; Departamento de Ciencias de la Salud, Universidad Técnica Particular de Loja (UTPL), San Cayetano alto s/n, 1101608, Loja, CP, Ecuador. mebautista@utpl.edu.ec.
  • Duque V; Departamento de Ciencias de la Salud, Universidad Técnica Particular de Loja (UTPL), San Cayetano alto s/n, 1101608, Loja, CP, Ecuador.
  • Verhoeven V; Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Belgium.
  • Mejia Chicaiza J; Universidad de Cuenca, Cuenca, Ecuador.
  • Hendrickx K; Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Belgium.
  • Maldonado-Rengel R; Departamento de Ciencias de la Salud, Universidad Técnica Particular de Loja (UTPL), San Cayetano alto s/n, 1101608, Loja, CP, Ecuador.
  • Michels NRM; Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Belgium.
BMC Complement Med Ther ; 21(1): 65, 2021 Feb 18.
Article em En | MEDLINE | ID: mdl-33602199
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Etnicidade / Indígenas Sul-Americanos / Pessoal de Saúde / Atenção à Saúde / Relações Interprofissionais / Medicina Tradicional Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality / Implementation_research Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Ecuador Idioma: En Revista: BMC Complement Med Ther Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Equador País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Etnicidade / Indígenas Sul-Americanos / Pessoal de Saúde / Atenção à Saúde / Relações Interprofissionais / Medicina Tradicional Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality / Implementation_research Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Ecuador Idioma: En Revista: BMC Complement Med Ther Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Equador País de publicação: Reino Unido