Abstract

CHAVEZ VICTORINO, Omar; MORALES CHAVEZ, Germán; SOLANO, Rogelio Marcos  and  CARPIO RAMIREZ, Claudio. Therapeutic adeherence, doctor-patient interaction and social justice in Mixteca indigenus population from Guerrero, México. rev.latinoam.bioet. [online]. 2020, vol.20, n.1, pp.123-146.  Epub Nov 14, 2020. ISSN 1657-4702.  https://doi.org/10.18359/rlbi.4142.

Mexico's inhabitants comprise various social groups and among them we find the indigenous people of the Mixtecos, who are mostly characterized by living in extreme poverty conditions, a situation that enables unfavorable health conditions due to their particular social and physical characteristics. Furthermore, these indigenous groups use their own medical systems, different from the biomedical system. When the Government extends its coverage to these communities, difficulties arise due to the incompatibility of medical systems. The use of intercultural skills, such as evaluative and transcriptional verbal components, has been observed to favor an adjustment between patients and biomedical health systems. With the aim of reviewing whether the professionals who provide their services to indigenous communities have intercultural skills, a descriptive, non-experimental, cross-sectional study was carried out to identify the use of intercultural verbal components by the medical team of the Rural Medical Unit, located in the community of Dos Ríos, municipality of Cochoapa el Grande, Guerrero. The doctor-patient team interaction was observed for 6 months, with a total of 103 registered consultations. Likewise, it was found that professionals have little use of intercultural verbal components and that they have not incorporated strategies that allow the medical adjustment of Mixtec patients to the biomedical system. Data was analyzed in relation to the bioethical and social justice aspects involved in the behavior of official health institutions.

Keywords : therapeutic adherence; intercultural skills; bioethics; social justice; Mixtec patients.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )