Diversity in the Health Professions
Health Consortium Recruits Native American Health Professionals
hile California has the largest
Native American population in the
country, the health care field faces
a shortage of Native American
providers. Of California’s 93,000 physicians,
only 65 are Native American. As a result, rural,
geographically remote Native American communities
experience some of the most significant
health disparities in the nation.
Statistics reveal that minority health professionals
are more likely to practice in shortage
areas, yet the relatively small number of Native
American students entering health programs
makes recruiting and retaining Native American
health professionals a daunting challenge.
Increasing the supply of qualified Native
American health workers is an important strategy
for underserved communities to access
quality, culturally competent health services.
"Many [Native American] elders prefer to
receive medical treatment from someone they
know and someone they feel understands them
when they try to communicate," said Marilyn
Pollard, administrative services department
director with the California Rural Indian Health
Board (CRIHB). "The fast pace of the dominant
culture puts off most elders. They do not feel
that the person has time for them or cares
about their particular
illness or situation and therefore will not go to a
doctor’s office under those circumstances."
 In March, TCWF awarded a three-year,
$250,000 grant to CRIHB to recruit and retain
Native American professionals in the health
field. With 11 member programs that serve
approximately 66,000 patients at 28 clinic sites,
CRIHB has been working since 1969 to develop
policies and services that elevate the health
and social conditions of the Native American
people of rural California.
CRIHB’s recruitment efforts include offering
scholarships to Native American students pursuing
careers in the health professions, building
relationships with educational systems, assessing
program staffing needs at member clinics,
and building an Internet database of qualified
Native American health providers as a recruiting
tool. A tribal recruitment and retention specialist,
a position that will be possible through TCWF’s grant, will coordinate these
efforts to abate high turnover rates and professional staff shortages
experienced at most member clinics.
The provision of culturally competent care for Native American communities
plays a large role in these efforts. Native American health professionals have
a better understanding of the unique communication styles of different tribal
groups. For example, clients at one of the clinics may speak more generally,
downplaying medical problems. What is described as a "bellyache" may, in fact,
be something much more serious.
CRIHB encourages participation in all
professional levels of health care. While recruitment
efforts are geared towards medical doctors,
other health professionals - such as pharmacists,
dentists, registered nurses, medical
record clerks and data input operators - are also
supported.
“Maintaining a diverse workforce of health professionals is a necessary step
in ensuring that all Californians have access to quality health services,” said
Alicia Procello, TCWF program director. “CRIHB’s recruitment efforts ensure
that rural Native American communities will receive culturally competent health
care of the highest quality.”
For more information, please visit
www.crihb.org
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