What do indigenous communities want from their surgeons and surgical services: A systematic review.

摘要: Abstract Background This investigation was undertaken to define the factors determining optimal and most productive relationship among indigenous communities, surgeons, providers of surgical services. Methods A systematic literature review conducted identify studies reporting on experience communities with medical practitioners, other health The databases searched were MEDLINE, EMBASE, PubMed, Web Science, Google Scholar, including all available until search date April 3, 2019. reference lists included articles related manually further relevant studies. An inductive approach used common themes. Results Thirty-three publications discussed experiences New Zealand Māori (n = 2), Aboriginal Torres Strait Islanders 20), North American First Nation 10), Indigenous Latin Americans 1). Across peoples, 6 themes emerged: accessible services, community participation governance, continuous quality improvement, a culturally appropriate clinically skilled workforce, flexible care, holistic healthcare. Conclusion To provide services in successfully requires diverse range skills core technical academic competencies. Many lie within definition professionalism advocacy as well ability undertake operationalize consultation empowerment. If serving are be successful addressing disparity, specific training these will need developed made available.