Strategies to Reduce Hlth Inequities for America Indians

描述（由申请人提供）： 公平的医疗保健是所有美国人的基本权利。减少美洲印第安人健康不平等的必要性对政策制定者、卫生保健提供者和社区利益攸关方来说是一项艰巨的挑战。美洲印第安人的肥胖率是所有群体中最高的，是世界上2型糖尿病发病率最高的群体之一，人均暴力受害率高于任何其他群体。这次跨学科峰会讨论了肥胖、糖尿病和暴力作为这一高危人群主要公共卫生问题的中心地位。具体而言，这次会议将：（1）确定与肥胖、糖尿病和暴力有关的西方主要卫生保健的科学状况的关键进展，（2）从传统的美洲印第安人的角度，在健康和疾病的文化、心理社会和环境决定因素的背景下讨论这些公共卫生问题，（3）通过将西方主导的保健与土著人民的传统智慧相结合的战略，审查使用文化上适当的最佳保健做法模式，（4）将灵性作为健康，疾病和治疗的包容性维度，（5）描述美国印第安人领导小组概述的美国印第安人健康的未来方向。在小组讨论中，美国印第安人领导层和研究人员将概述有关肥胖，糖尿病和暴力的印度医疗保健差距的指导方针，以帮助制定未来的方向，为第一批美国人提供最佳水平的医疗保健。峰会将为学生提供一个与美国印第安人榜样以及肥胖、糖尿病和暴力领域的非印度研究人员和临床医生建立联系的机会。 这次会议将在费城的宾夕法尼亚大学召开。目标受众将包括200名大学合作伙伴，卫生专业人员，计划协调员，部落领导人，社区卫生领导人，联邦机构，部落学院内外的美洲印第安学生以及其他希望更多了解美洲印第安人独特的医疗保健问题的人。峰会的成果包括：在《美国护理杂志》和《跨文化护理杂志》上传播会议记录和文章，并在印度卫生服务机构和护理学院的网站上张贴

DESCRIPTION (provided by applicant): Equity in health care is a basic right for all Americans. The need to reduce inequities in health for American Indians is a daunting challenge for policy makers, health care providers and community stakeholders. American Indians have the highest prevalence of obesity of any group, among the highest rate of type 2 diabetes in the world and have a higher per capita rate of violent victimization at than any other group. This interdisciplinary summit addresses the centrality of obesity, diabetes and violence as major public health problems for this high risk population. Specifically this conference will: (1) identify key advancements in the state of the science' in dominant western health care related to obesity, diabetes and violence, (2) discuss these public health problems within the context of cultural, psychosocial and environmental determinants of health and illness from a traditional American Indian perspective, (3) examine the use of culturally appropriate best practice models of care through strategies to integrate dominant western health care and traditional wisdom of indigenous people, (4) incorporate spirituality as an inclusive dimension of health, disease and healing, and (5) describe future directions of the health of American Indians as outlined by the American Indian leadership group This Summit to bridge the cultural canyon will provide a forum for researchers and practitioners embedded in dominant culture health care to interact with Indian and non-Indian health providers. In panel discussions, American Indian leadership and researchers on disparities in Indian health care related to obesity, diabetes and violence will outline guidelines to help shape future directions for the delivery of optimal levels of health care for the first Americans. The Summit will provide an opportunity for students to network with American Indian role models and non- Indian researchers and clinicians in the fields of obesity, diabetes and violence. This conference will be convened at the University of Pennsylvania in Philadelphia. The target audience will include 200 University partners, health professionals, program coordinators, Tribal leaders, community health leaders, federal agencies, American Indian students within and outside of Tribal Colleges and others who want to become more informed about the unique health care issues of American Indians. Outcomes of the summit include; dissemination of the proceedings and articles in the American Journal of Nursing and Journal of Transcultural Nursing and posting on the Indian Health Services and School of Nursing web sites