International Journal for Quality in Health Care Advance Access originally published online on July 11, 2006
International Journal for Quality in Health Care 2006 18(4):294-298; doi:10.1093/intqhc/mzl013
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Quality in practice
Building community involvement in cross-cultural Indigenous health programs
University of California, San Diego Department of Pediatrics, Division of Community Pediatrics
Objectives. To gain preliminary knowledge about issues identified by Native health investigators who would encourage greater community involvement in Indigenous health programs and research in Canada, Pacific Rim, and the United States.
Design. A pilot/feasibility study, August 2001–April 2002.
Setting. Indigenous health agencies and institutions in New Zealand, Australia, Canada, and the United States.
Participants. Thirty-six health professionals from rural and urban health centers participated, which resulted in 10 group and four individual interviews. Subjects included program managers, clinical physicians, and health researchers. Approximately 58% of the subjects self-identified as Indigenous.
Results. Three overarching themes emerged from the interview data: (i) integration of cultural values of family and community into health provision; (ii) emphasis on health education and prevention programs for Indigenous youth; and (iii) indigenous recognition and self-determination in health delivery and research.
Conclusions. To improve and promote community involvement in primary health programs and services for Indigenous people involves a long-term social and political commitment to health protection on a national and an international level, as well as the understanding that research methodologies and health interventions must explicitly involve culturally appropriate values and behaviors that are implemented by Indigenous people.
Keywords: community involvement, cross-cultural health, Indigenous health, qualitative research
Address reprint requests to Samantha Hurst, University of California, San Diego Department of Pediatrics, Division of Community Pediatrics, 9500 Gilman Drive MC0927, La Jolla, CA, 92093–0927. E-mail: shurst{at}ucsd.edu
Accepted for publication April 20, 2006.