Evidence map›Paper›PMID 40238544›Full record

ArticleInternational journal of environmental research and public health2025

"Understand the Way We Walk Our Life": Indigenous Patients' Experiences and Recommendations for Healthcare in the United States.

Melissa E Lewis, Ivy Blackmore, Martina L Kamaka, Sky Wildcat, Amber Anderson-Buettner, Elizabeth Modde, Laurelle Myhra, Jamie B Smith, Antony L Stately

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa E LewisDepartment of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO 65211, USA.ORCID 0000-0002-6999-5865
Ivy BlackmoreIndependent Researcher, St. Louis, MO 63124, USA.ORCID 0000-0002-0174-9588
Martina L KamakaDepartment of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI 96822, USA.
Sky WildcatIndependent Researcher, Salina, OK 74635, USA.
Amber Anderson-BuettnerDepartment of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma, Oklahoma City, OK 73104, USA.ORCID 0000-0003-1433-9059
Elizabeth ModdeDepartment of Child and Adolescent Psychiatry, Brown University Health, Providence, RI 02906, USA.ORCID 0009-0006-2495-7482
Laurelle MyhraMino Bimaadiziwin Wellness Clinic, Minneapolis, MN 55404, USA.ORCID 0000-0003-3484-313X
Jamie B SmithDepartment of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO 65211, USA.
Antony L StatelyNative American Community Clinic, Minneapolis, MN 55404, USA.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK092950NIH HHS 1P30DK092950-19A1
6 · The paper itself

Abstract

backgroundThe quality of healthcare experiences for Indigenous communities is worse when compared to non-Indigenous patients. Bias and discrimination within healthcare systems relate to worsened care and worsened health outcomes for Indigenous patients. The purpose of this study was to learn about the experiences of Indigenous people within healthcare settings, as well as their viewpoints for improving healthcare delivery to this population.

methodsIndigenous research methods were employed in this study as clinic administrators and staff, elders, and Indigenous researchers collaborated on the study purpose, design, and analysis. Twenty Indigenous patients participated in one of four focus groups regarding their experiences with healthcare systems.

resultsSeven main themes emerged, highlighting participants' experiences during health encounters, in relation to healthcare systems, and Indigenous health beliefs. Participants discussed challenges and barriers in each area and offered recommendations for care delivery to this population.

conclusionsParticipants in this study highlighted that biased care results in poor quality of healthcare delivery and that there are actionable steps that providers and systems of healthcare can take to reduce bias within healthcare systems. The provision of culturally congruent care is imperative in improving the health and well-being of Indigenous communities.

Indexed as

Delivery of Health CareHealth Services, IndigenousIndians, North AmericanAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedQuality of Health CareUnited Statesculturally congruent careIndigenousIndigenous patientsIndigenous research methods

Identifiers

PMID40238544
PMCPMC11941805

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.