Getting to know
American Indian elder health seeking in an under-funded healthcare system
Bibliographic Data
| ID | 21258299 |
|---|---|
| Authors | Emily A Haozous (0000-0003-1363-1453, Pacific Institute For Research and Evaluation, corresponding author), E T Jaramillo (0000-0001-9933-7786, Pacific Institute For Research and Evaluation), Cathleen E Willging (0000-0001-6446-5083, Pacific Institute For Research and Evaluation) |
| Year | 2021 |
| Volume | 1 |
| Pages | 100009 |
| Publication date | 2021-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | SSM - Qualitative Research in Health (JOURNAL) |
| Journal identifiers | ISSN: 2667-3215 • E-ISSN: 2667-3215 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ssmqr.2021.100009 |
| PMID | 34988544 |
| OpenAlex | W3200755833 |
| Language | EN |
| Citations received | 1 |
| References cited | 15 |
American Indian (AI) Elders are the heart of the community. Existing research explores links between specific health behaviors and social determinants of health , but there is little theory explaining patient behaviors in the context of the Indian Health Service (IHS) system of care. We drew from a multiyear mixed-methods participatory study of Elder healthcare experiences to identify the systemic, interpersonal, and historical factors in the IHS that impact their health-seeking behaviors. We conducted an interpretive grounded theory analysis guided by Indigenous methodologies to analyze interviews with 96 AI Elders from two Southwestern states. Our resulting theory, Getting to Know, explains how Elders knew, owned, accessed, and were denied information and resources in their efforts to receive care. Findings highlight how Elders’ health-seeking behaviors reflect longstanding inequities, the many ways Elder knowledge was incongruent with Western knowledge embedded in the IHS system, and how this conflict contributed to Elder discomfort in clinical settings. Future work will test the applicability of Getting to Know in other AI communities. By applying an Indigenous-centered analysis to the voices of Elders, we identified key influences on health outcomes not previously observed in the literature. In illuminating these influences, we show how healthcare can be better formulated to meet the needs of Elders, ultimately improving health for AI communities
Citizen journalism · Geography · Grounded theory · Health care · Indigenous · Interpersonal communication · Participatory action research · Political science · Public relations · Qualitative research · Social science · Sociology · Geriatric Care and Nursing Homes · Health disparities and outcomes · Indigenous Health, Education, and Rights · Medicine · Nursing · Psychology · Social Psychology · Gerontology
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| Citations per year | 0.25 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |