追踪基于医疗政策的基础设施和健康信念主导实践之间的差异:对印度土著居民的叙述性评论。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Biju Soman, Ashwathi Raj Lathika, B Unnikrishnan, Ranjitha S Shetty
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引用次数: 0

摘要

大多数印度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。这项叙述性审查旨在确定印度土著居民在实施医疗服务以及获得和利用这些服务方面的差异。我们还试图阐明通过最大限度地利用现有资源来加强公共卫生系统的效率和功效的合理性,以便根据相关的可持续发展目标,在印度这些人口的健康状况方面取得可衡量的成果。已发表文献中的证据支持这样一个事实,即与普通人群相比,印度土著人口的健康状况存在差异。它强调需要解决关键的决定因素,如缺乏知识、传统的治疗方法和对向他们提供的医疗服务利用率低。医疗资源的可及性、传统的治疗方法、对政府提供的医疗服务和计划缺乏认识、关于其问题和挑战的数据不足以及文化和语言障碍等各种因素恶化了土著人民的健康状况。然而,我们的审查重申,一项结构良好、可持续的政策,再加上医疗保健系统的基础设施和管理,可能会给印度土著人口的健康状况带来积极变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tracing the Disparity Between Healthcare Policy-Based Infrastructure and Health Belief-Lead Practices: a Narrative Review on Indigenous Populations of India.

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.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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