Sistemas de provisión de cuidados a la salud frente al Covid-19: La necesidad de respuestas autogestivas entre los pueblos originarios de los EUA / Health Delivery Systems in Response To Covid-19: The Need for Indigenous Led Responses in the USA


  • Margo Hill Universidad del Este de Washington (EWU),
  • Frank Houghton Instituto Tecnológico de Limerick, Limerick, Irlanda
  • Mary Ann Keogh Hoss Universidad del Este de Washington (EWU), Spokane, Estado de Washington, EE.UU.


Las comunidades indígenas de pueblos originarios en Alaska han experimentado tasas desiguales y más altas de morbilidad, hospitalización y mortandad por Covid-19 en relación a la población blanca no hispana mayoritaria. Estas desigualdades son el resultado de siglos de racismo y opresión. Los cuidados a la salud convencionales han luchado financieramente para sobrevivir a la crisis y están mal posicionados o capacitados para satisfacer las necesidades de los miembros de las tribus. El Servicio de Salud Indio, al estar mal financiado y ser a menudo percibido sospechosamente por la población que atiende, en gran medida no ha conseguido mitigar el impacto de Covid-19 en estas comunidades vulnerables. Existe una necesidad urgente de expandir los servicios de cuidados a la salud dirigidos por indígenas. Abstract The indigenous American Indian/ Alaskan Native (AI/AN) communities in North America have experienced inequitably higher rates of Covid-19 related morbidity, hospitalisation, and mortality than the majority, non-Hispanic white population. These inequalities are the result of centuries of racism and oppression. Mainstream health services have struggled financially to survive the crisis and are poorly positioned or trained to meet the needs of tribal members. The Indian Health Service, being both poorly funded and often suspect, largely failed to mitigate the impact of Covid-19 on these vulnerable communities. There is an urgent need for the expansion of indigenous led health providers.

Biografía del autor/a

Margo Hill, Universidad del Este de Washington (EWU),

Universidad del Este de Washington (EWU)

Frank Houghton, Instituto Tecnológico de Limerick, Limerick, Irlanda

Instituto Tecnológico de Limerick, Limerick, Irlanda

Mary Ann Keogh Hoss, Universidad del Este de Washington (EWU), Spokane, Estado de Washington, EE.UU.

Universidad del Este de Washington (EWU), Spokane, Estado de Washington, EE.UU.


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Cómo citar

Hill, M., Houghton, F., & Keogh Hoss, M. A. (2022). Sistemas de provisión de cuidados a la salud frente al Covid-19: La necesidad de respuestas autogestivas entre los pueblos originarios de los EUA / Health Delivery Systems in Response To Covid-19: The Need for Indigenous Led Responses in the USA. Medicina Social Social Medicine, 15(1), 58–64. Recuperado a partir de



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