Barriers to Healthcare Access for a Native American Tribe in the Gulf Coast Region of the United States

Jessica L. Liddell

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Indigenous Health, Education, and Rights Cultural Competency in Health Care Public Health and Social Inequalities

Abstract

Abstract Native American (NA) women's health needs in general are underresearched, and use of holistic, community-informed, and resilience-based approaches are rare. Despite extensive documentation of the continuing health inequalities between NA women and the general US population, little research examines what healthcare infrastructure and healthcare provider factors most impact, and exacerbate, these health disparities. The purpose of the study was to provide insight into the healthcare experiences of NA women. A qualitative descriptive research methodology with “hues” of an ethnographic life-history approach was used. Data were collected through qualitative semi-structured life-history interviews with 31 NA women from the Gulf Coast region of the United States. All women identified healthcare obstacles and barriers. These barriers were predominately comprised of Healthcare Infrastructure Barriers, which entailed: (1) Cost and Insurance Barriers; (2) Concerns about Western Medication; (3) Language Barriers; (4) Distance to Medical Facilities or Specialists; and (5) Long-wait Times, and Negative Provider Relationships, which included: (1) Rushed or Rude Provider Interactions; (2) Providers not Listening, or Ignoring Patient Concerns; (3) Poor, Inaccurate, or Inadequate Care or Diagnosis; (4) Discrimination in Healthcare; and (5) The need for Personal Relationships with Providers. These findings suggest that healthcare infrastructure issues and poor healthcare provider relationships are important structural issues that contribute to health disparities. The findings from this study have important implications for the type of training those working in healthcare services receive to be more sensitive to the needs of NA women and suggest that NA women may need unique support when accessing healthcare.

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References

2000Whatever happened to qualitative description?2005“Weathering” and Age Patterns of Allostatic Load Scores Among Blacks and Whites in the United States 2005Developing and refining interventions in persons with health disparities: The use of Qualitative Description 2007Indigenous Ways of Knowing: Implications for Participatory Research and Community 2002Reconceptualizing Native Women's Health: An “Indigenist” Stress-Coping Model 2005Enhancing Rigor in Qualitative Description 2014Five Qualitative Approaches to Inquiry 2006The Persistence of American Indian Health Disparities

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2022The Development of the Framework of Integrated Reproductive and Sexual Health Theories (FIRSHT) to Contextualize Indigenous Women’s Health Experiences

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