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• W2894897706 abstract "To review the literature regarding the access to primary health care (PHC) by indigenous communities in South America, identifying the main access barriers.Integrative review of articles published from 2007 to 2017 in the LILACS, PubMed, and SciELO databases. The search terms indigenous AND health AND Brazil and indigenous AND health NOT Brazil were used in Portuguese and English. Articles published in English, Portuguese, or Spanish, focusing strictly on PHC and on South-American indigenous populations were included.Forty articles describing aspects of PHC for indigenous populations in eight countries - Brazil, Peru, Colombia, Bolivia, Argentina, Chile, Paraguay, and Ecuador - were included. The main barriers to accessing PHC were the difficulty of reaching the health care facilities closest to villages; difficulty in communicating with health care professionals; inadequate transportation to the health care units; lack of epidemiological data on indigenous villages; lack of information regarding local indigenous cultures; and fear of discrimination or humiliation on the part of indigenous patients.Studies regarding the health of indigenous populations in South America are scarce. It is evident that national health systems still need to advance towards an intercultural medicine that respects the social, cultural, and economic realities of all communities, with knowledge and consideration for different forms of care.Revisar la bibliografía acerca del acceso a la atención primaria de salud (APS) de las comunidades indígenas de América del Sur, e identificar los principales obstáculos a ese acceso.Revisión integrativa de artículos publicados desde 2007 a 2017 en las bases de datos LILACS, PubMed y SciELO. Para la búsqueda se utilizaron los siguientes descriptores: “indígenas AND salud AND Brasil” e “indígenas AND salud NOT Brasil” en portugués e inglés. Se incluyeron artículos publicados en inglés, portugués y español que abordaran estrictamente la APS en indígenas de América del Sur.Se incluyeron 40 artículos que describieron los aspectos de la APS en indígenas de ocho países: Argentina, Bolivia, Chile, Colombia, Brasil, Ecuador, Paraguay y Perú. Los principales obstáculos de acceso a la APS detectados fueron la dificultad de acceso a los servicios de salud más próximos de las aldeas; lenguaje e ilustraciones de las cartillas de educación en salud inapropiadas al contexto indígena; dificultad de comunicación con los profesionales de salud; carencia de medios de transporte adecuados hasta las unidades de salud; escasez de datos epidemiológicos de las aldeas indígenas; ausencia de información sobre las culturas indígenas locales; y miedo de discriminación o humillación en el paciente indígena.Aún son escasos los estudios sobre la salud indígena en América del Sur. Es evidente que los sistemas de salud nacionales aún necesitan avanzar hacia una medicina intercultural, con respeto a las realidades sociales, culturales y económicas de todas las comunidades asistidas, con conocimiento y consideración de las diferentes formas de cuidados." @default.
• W2894897706 created "2018-10-12" @default.
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• W2894897706 date "2018-01-01" @default.
• W2894897706 modified "2023-10-18" @default.
• W2894897706 title "Atenção primária à saúde de indígenas sul-americanos: revisão integrativa da literatura" @default.
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• W2894897706 doi "https://doi.org/10.26633/rpsp.2018.163" @default.
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