And [They] Even Followed Her Into the Hospital: Primary Care Providers’ Attitudes Toward Referral for Traditional Healing Practices and Integrating Care for Indigenous Patients

Abstract

All health care providers require training in traditional healing practices for Indigenous persons as guided by the cultural safety framework.

Exploring the possibility of collaboration for biomedical professionals and traditional healers: A Systematic Review

“…Language difficulties between formal providers and traditional healers were mentioned as a difficulty 37,49 . In a somewhat similar finding on the need for familiarity, Johnson-Jennings et al found that racially concordant/Indigenous providers were more likely to refer their patient to herbal practices, F (1, 89) = 5.99, p = .02, and other traditional healing practices, F(1, 89) = 5.03, p = .03 44 . Krah et al found that having biomedical health professionals who were seen as outsiders with limited understanding of local traditional medicine practices hampered trust between biomedical professionals and health professionals 16 .…”

“…In eight articles, the authors either used the WHO definition (presented in the methods) or a similar definition of traditional healers as individuals with cultural knowledge of disease and treatment [31][32][33][34][35][36][37][38] . In the final seven articles, traditional healers were described in more culturally specific terms, with attention to distinction between different types traditional healers [39][40][41][42][43][44][45] .…”

“…The majority of included articles (n= 22) had objectives related to the perceptions and attitude towards collaboration (Table 2). Five studies focused on the opinions and perspectives of traditional healers 22,39,40,46,47 , six studies exclusively interview or surveyed biomedical professionals 20,24,36,38,44,48 , eight studies concurrently examined the opinions for biomedical professionals and traditional healers 16,18,21,35,37,[41][42][43] and two studies included multiple stakeholders 17,33 . Only one study exclusively sought the opinions of policy makers 34 .…”

The use of experimental vignette studies to identify drivers of variations in the delivery of health care: a scoping review

“…Nurses generally rated female, African American, older patients’ pain higher and were more ready to prescribe opioids. Johnson-Jennings et al, 2018 [ 65 , 75 ] To test whether patient-provider racial concordance and patient ethnic salience is associated with 1) provider pain assessment 2) attitudes toward referral for traditional healing practices for indigenous patients USA Primary care Other clinical professional 1) Prescription 2) referral Ethnicity (Indigenous American - high/low ethnic salience) Racial concordance (patient & physician) Chronic lower back pain 1) Indigenous providers rated patient with higher Indigenous ethnic salience more congruently with the self-reported pain ratings 2) Provider–patient racial concordance increased likelihood of consulting with and referring patients to traditional healing practices. Lutfey et al, 2009 & 2010 [ 66 , 67 ] 1) Whether physician certainty is associated with decision making.…”

“…For example, Burt et al based vignettes on previously video-recorded patient-clinician encounters [ 42 ]. In a three studies, content was based on national guidelines [ 65 , 72 , 75 ].…”