Intercultural health applies the concepts of interculturalism to health settings. It involves conceptualizing health itself as part of a broader cultural framework. Intercultural health defines what counts as "health" as outside purely biomedicine. In many cases, intercultural health is an approach that seeks to reduce gaps between
indigenous health and
biomedical health systems. Indigenous health systems, sometimes grouped in with
alternative medicine, often involve different kinds of healers,
plant medicine techniques, holistic medicine, and
indigenous knowledge that has been passed down through generations. Intercultural health systems often state the goal of creating better health outcomes in indigenous communities and generating mutual respect between biomedical practitioners and indigenous healers. The implementation of intercultural health practices is associated with the project of decentralizing health systems, especially in Latin America. Ecuadorian epidemiologist and physician Jaime Breilh is a proponent of intercultural health for its benefits on population health.
Structural violence, a term developed by American medical anthropologist and physician
Paul Farmer, describes a lack of available health care as a form of
violence. Supporters of intercultural health care models cite addressing structural violence as a goal. The goal of many intercultural health models is to treat indigenous knowledge with the same respect as biomedicine. Intercultural health models have been associated with improved health outcomes in indigenous communities. Effective intercultural health projects involve buy-in from all cultures represented. Anthropologist Catherine Walsh describes the concept of "critical interculturality." She defines this as using indigenous concepts to question the existing structure and advance epistemic change. There are examples of intercultural health projects that do not fully incorporate indigenous methodologies and instead continue to perpetuate the western
hegemonic order. Intercultural health projects often involve connecting
traditional medicine, or ancestral medicine, or
indigenous medicine, with western,
biomedicine. A series of case studies highlight intercultural health projects that integrate biomedicine with traditional medicine, in
Chile, Intercultural health education is a priority at the medical school in the Universidad Andina Simón Bolívar in Quito, Ecuador. Intercultural education models have been built into schools in many indigenous communities across the Americas with the goal of passing down aspects of the particular indigenous practices and culture. These are often focused on language acquisition. Peru and Ecuador have both implemented intercultural indigenous language acquisition programs. Intercultural health concepts applied in United States biomedical settings are often called
cultural competency. The explanatory model, the original framework of cultural competency, was developed by
Arthur Kleinman. It is a technique grounded in a set of questions that providers can use to understand how a patient understands their own illness. This model has been applied in many US medical schools. Intercultural health projects are seen as distinct from culturally competent ones because of their goal in achieving indigenous political rights and reframing knowledge bases to include indigenous concepts. One of the criticisms of the cultural competency model is that it can create biases among health providers, who might begin to treat patients differently because of their cultural background, without allowing for heterogeneity within a cultural group. It can also lead to worse health outcomes in minority groups when health care providers make assumptions about patients' health behaviors and histories based on their race, ethnicity, or culture. == Reception ==