Health Service Provision in a Huichol Community in Mexico: an issue of Intercultural Communication
Abstract
In Mexico, there is a high incidence of health-related problems among indigenous ethnic groups that are otherwise prevented and have a low impact in non-indigenous rural communities. The Mexican Ministry of Health acknowledges that this problem may be in part due to the fact that the vision of the indigenous patient regarding health issues has been omitted from official programmes. In this paper we show that although understanding cultural aspects is crucial in the development of a culturally-sensitive view of health care service provision, it is also of paramount importance to observe aspects concerning intercultural communication issues, such as differences in expectations regarding interaction patterns. The case of the Huichols, an indigenous ethnic group in Mexico, is presented.
Full text article
References
Casillas, A. (1996). The shaman who defeated etsá sickness (smallpox). Traditional Huichol Medicine in the twentieth century. In Schaefer, S. B. y Furst, P. People of the Peyote: Huichol Indian History, Religion, and Survival. Albuquerque: University of New Mexico, pp 208 - 234
Cooper, L. y D. Roter (2003). Patient-Provider Communication: The Effect of Race and Ethnicity on Process and Outcomes of Healthcare. En Smedley, B.; Stith, A. y Nelson, A. ( ed.) Unequal treatment: confronting racial and ethnic disparities in health care. U.S.A.: National Academies Press, pp 552 – 58x.
Furst, P. (1972). El concepto Huichol del alma. In P. T. Furst & S. Nahmad (Eds) Mitos y arte huicholes. México: Fondo de Cultura Económica, pp 7 – 113.
Gumperz, J. B. (1982). Discourse strategies. Cambridge: Cambridge University Press.
Hyland, K. (2002). Genre: language, context, and literacy. Annual Review of Applied Linguistics, 22, Discourse and Dialogue.pp 113 – 135.
INEGI (2005). II Conteo de población y vivienda. México: INEGI
Johnson, R. L., D. Roter, N. Powe & L. A. Cooper (2004). Patient race/ethnicity and quality of patient-physician communication during medical visits. American Journal of Public Health, 94 (12), pp 2084 – 2090.
Negrin, J. (2006) Recent history. In: Portal Wixárika (on-línea) Available at: http://www.wixarika.org
Otis, G. (in press). Buscando "vida": hechicería, curaciones por la fe y conversión religiosa entre los huicholes. Mexico: Instituto Nacional de Antropología e Historia.
Saville-Troike, M. (1992).Cultural maintenance and "vanishing" languages.In C. Kramsch& S. McConnell-Ginet.Text and Context.Cross-disciplinary perspectives on language study. Lexington: Heath and Company, pp. 148 – 155.
Scollon, R. (1985). The machine stops. In D. Tannen&M.Saville-Troike (Eds).Perspectives on silence. Norwood, NJ: Ablex.
Scollon, R. And S. W. Scollon (2001). Intercultural communication (2nd Ed). Oxford: Blackwell.
Smedley, B. D., A. Y. Stith, & A. R. Nelso (2003). Unequal treatment. Confronting racial and ethnic disparities in health care. Washington, D. C.: The National Academies Press.
Tannen, D. (1992). Rethinking power and solidarity in gender and dominance. In C. Kramsch & S. McConnell-Ginet.Text and Context.Cross-disciplinary perspectives on language study. Lexington: Heath and Company, pp 135 – 147.
Vázquez, J. L. (1992). Práctica médica tradicional entre indígenas de la sierra madre occidental: Los Huicholes. In Prácticas populares, ideología médica y participación social, aportes sobre antropología médica en México, E. Menéndez y J. García (Eds.) Universidad de Guadalajara, CIESAS pp 326.
Villaseñor S. J., A. C. Lara, y M. P. Aceves(2006). La embriaguez de lo divino: Un síndrome ligado a la cultura. Investigación en salud; VIII (1) pp. 16-22
Authors
Copyright (c) 2011 Saul Santos García, Karina Ivett Verdín Amaro

This work is licensed under a Creative Commons Attribution 4.0 International License.
This journal provides immediate and free open access to all its content and is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0). This means readers are permitted to read, download, copy, distribute, print, search, or link to the full texts of articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author, as long as proper attribution is given. This policy is consistent with the Budapest Open Access Initiative (BOAI) definition of open access.