Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Elise Trott Jaramillo, Emily A Haozous, Hannah Brechtel, Cathleen E Willging

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Abstract

Navigating health care and insurance systems presents significant challenges for American Indian (AI) Elders. Access to culturally congruent assistance with decision-making, scheduling, transportation, and communication can bridge the gap between AI Elders and health systems. This study uses qualitative interviews with professionals providing navigation services to American Indian Elders in a Southwestern state to understand the skills, experiences, and challenges involved in delivering this support. We conducted semi-structured interviews with 16 professionals providing navigation support to AI Elders between November 2018 and August 2020 and used a constant comparative approach to identify themes. Participants' descriptions of their work centered on the themes of (1) respect for Elders; (2) wide-ranging responsibilities; (3) acting as a trusted communicator; (4) developing trust; and (5) challenges to providing navigation support for AI Elders. Efforts to achieve health equity for AI Elders must include supporting individuals such as these within communities and advocating for a just health care system for American Indian people.

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值得信赖的沟通者：导航支持在改善美国印第安长者的健康和医疗服务中的作用。

对于美国印第安人（AI）长者来说，在医疗保健和保险系统中游刃有余是一项重大挑战。在决策、时间安排、交通和沟通等方面获得与文化相一致的帮助，可以消除美国印第安长者与医疗系统之间的隔阂。本研究通过对西南部一个州为美国印第安长者提供导航服务的专业人员进行定性访谈，以了解提供这种支持所涉及的技能、经验和挑战。我们在 2018 年 11 月至 2020 年 8 月期间对 16 名为美国印第安长者提供导航支持的专业人员进行了半结构化访谈，并采用恒定比较法确定主题。参与者对其工作的描述主要围绕以下主题：（1）尊重长者；（2）责任广泛；（3）充当值得信赖的沟通者；（4）建立信任；以及（5）为人工智能长者提供导航支持所面临的挑战。为实现美籍印地安人长者的健康公平所做的努力必须包括在社区内支持这样的个人，并倡导为美籍印地安人建立一个公正的医疗保健系统。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.