“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 and Antony L. Stately
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Melissa E. Lewis: Department of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO 65211, USA
Ivy Blackmore: Independent Researcher, St. Louis, MO 63124, USA
Martina L. Kamaka: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI 96822, USA
Sky Wildcat: Independent Researcher, Salina, OK 74635, USA
Amber Anderson-Buettner: Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma, Oklahoma City, OK 73104, USA
Elizabeth Modde: Department of Child and Adolescent Psychiatry, Brown University Health, Providence, RI 02906, USA
Laurelle Myhra: Mino Bimaadiziwin Wellness Clinic, Minneapolis, MN 55404, USA
Jamie B. Smith: Department of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO 65211, USA
Antony L. Stately: Native American Community Clinic, Minneapolis, MN 55404, USA

IJERPH, 2025, vol. 22, issue 3, 1-19

Abstract: Background: The 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. Methods: Indigenous 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. Results: Seven 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. Conclusions: Participants 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.

Keywords: Indigenous; Indigenous research methods; Indigenous patients; culturally congruent care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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