Tribal Leadership and Care Services: "Overcoming These Divisions That Keep Us Apart".
American Indian and Alaska Native (AI/AN) Peoples are among groups continuing to experience health disparities. Eliminating health disparities, a national priority in the United States, requires addressing structural forces, also known as structural determinants of health. This case study examines l...
| Publicado en: | Health & Social Work Vol. 45; no. 3; pp. 165 - 175 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Aug2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=146347564&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 146347564 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03607283 HSW jtl: Health & Social Work issn: 03607283 maglogo: N pubinfo: dt: Aug2020 vid: 45 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 146347564 10.1093/hsw/hlaa018 ppf: 165 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 196KB tig: atl: Tribal Leadership and Care Services: "Overcoming These Divisions That Keep Us Apart". aug: au: Balestrery, Jean E Going, Hannah Pacheco, Ruby affil: Hampton Faculty Fellow, the American Indian/Alaska Native Initiative on Cancer , Spirit of EAGLES, Rochester, MN 55902 Arizona State University , Phoenix Northern Arizona University , Flagstaff, AZ su: Alaska Health services accessibility Health status indicators Native Americans Leadership Medical care Ethnology research Qualitative research Health of Indigenous peoples Research methodology Case studies Meta-analysis Statistical sampling Medical care of Indigenous peoples Judgment sampling Field research Thematic analysis sug: subj: Health services accessibility Health status indicators Native Americans Leadership Medical care Ethnology research Qualitative research Health of Indigenous peoples Alaska Marketing Research and Public Opinion Polling Research methodology Case studies Meta-analysis Statistical sampling Medical care of Indigenous peoples Judgment sampling Field research Thematic analysis keyword: American Indian/Alaska Natives health care health disparities service delivery systems structural violence American Indian/Alaska Natives health care health disparities service delivery systems structural violence ab: American Indian and Alaska Native (AI/AN) Peoples are among groups continuing to experience health disparities. Eliminating health disparities, a national priority in the United States, requires addressing structural forces, also known as structural determinants of health. This case study examines linkages between health disparities, structural forces, and colonial trauma relevant to care services and AN Peoples in Alaska. It centers on an Inupiaq Elder with leadership experience in AN tribal care services. Guided by a conceptual lens based on division–unification processes, this study yields the following findings as represented by five in vivo themes: severing of relationship, aftereffects of colonization, striking alliances, overcoming these divisions that keep people apart, and growing together in relationship. Colonial legacies continue to linger and have a multidimensional impact on AI/AN communities, including tribal care services. Healing from colonial trauma requires collective effort among AI/AN Peoples and people from the wider community. Practice implications emphasize trauma-informed approaches to promote reconciliation and a larger collective commitment to reconciliation in a global reality of increasing interdependence. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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