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首页> 外文期刊>Pimatisiwin : A Journal of Indigenous and Aboriginal Community Health >Health Practitioners’ Perspectives on the Barriers to Diagnosis and Treatment of Diabetes in Aboriginal People on Vancouver Island
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Health Practitioners’ Perspectives on the Barriers to Diagnosis and Treatment of Diabetes in Aboriginal People on Vancouver Island

机译：卫生从业者对温哥华岛原住民糖尿病诊断和治疗障碍的看法

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The prevalence of diabetes mellitus among Aboriginal populations in Canada represents a health crisis. Researchers and Aboriginal patients have identified barriers to prompt diagnosis and treatment of diabetes in Aboriginal communities. These barriers include poverty, co-morbidities, cultural indifference, and lack of healthcare resources. This study discusses the barriers to care of Aboriginal people with diabetes from the perspective of healthcare providers on Vancouver Island. Nonstandardized surveys containing multiple-choice and open-ended questions were distributed to 33 healthcare providers on Vancouver Island who reported working with Aboriginal people with diabetes; 18 completed surveys were returned. Descriptive statistics were prepared for the multiple-choice section of the questionnaire. Open-ended questions were coded and organized into substantive categories to identify trends. Barriers identified by participants include access to transportation, educational material, traditional care and medicine, and diagnostic services. Suggestions for possible solutions to barriers were grouped into three categories: education, overcoming systemic barriers, and cultural relevance. While some specific barriers were emphasized by participants, the general trends were similar to those perceived by Aboriginal patients and researchers as reported in the literature. The postulated solutions emphasize regional disparity in healthcare resources and the need to respect Aboriginal worldviews in western medical practice.
机译：在加拿大的原住民中，糖尿病的流行代表着健康危机。研究人员和原住民患者已经发现了在原住民社区迅速诊断和治疗糖尿病的障碍。这些障碍包括贫困，合并症，文化冷漠和缺乏医疗资源。这项研究从温哥华岛的医疗保健提供者的角度讨论了原住民糖尿病患者的护理障碍。包含多项选择题和不限成员名额问题的非标准化调查已分发给温哥华岛上的33位医疗保健提供者，他们报告曾与原住民糖尿病患者一起工作;返回了18个已完成的调查。为问卷的多项选择部分准备了描述性统计数据。不限成员名额的问题被编码并组织为实质性类别，以识别趋势。参与者确定的障碍包括交通，教育材料，传统护理和药品以及诊断服务。针对障碍的可能解决方案的建议分为三类：教育，克服系统性障碍和文化相关性。尽管参与者强调了一些具体的障碍，但总体趋势与文献报道的原住民患者和研究人员所看到的趋势相似。假定的解决方案强调了医疗资源的地区差异以及在西方医学实践中尊重土著世界观的必要性。

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