Circumpolar regions, and the nations within which they reside, have recently gained international attention because of shared and pressing public policy issues such as climate change, resource development, endangered wildlife and sovereignty disputes. In a call for national and circumpolar action on shared areas of concern, the Arctic states health ministers recently met and signed a declaration that identified shared priorities for international cooperation. Among the areas for collaboration raised, the declaration highlighted the importance of enhancing intercultural understanding, promoting culturally appropriate health care delivery and strengthening circumpolar collaboration in culturally appropriate health care delivery. This paper responds to the opportunity for further study to fully understand indigenous values and contexts, and presents these as they may apply to a framework that will support international comparisons and systems improvements within circumpolar regions. We explored the value base of indigenous peoples and provide considerations on how these values might interface with national values, health systems values and value bases between indigenous nations particularly in the context of health system policy-making that is inevitably shared between indigenous communities and jurisdictional or federal governments. Through a mixed methods nominal consensus process, nine values were identified and described: humanity, cultural responsiveness, teaching, nourishment, community voice, kinship, respect, holism and empowerment.
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Cites: Health Policy. 2011 Dec;103(2-3):191-9 PMID 21963188
Cites: BMC Public Health. 2009 Oct 08;9:378 PMID 19814791
Cites: Int J Circumpolar Health. 2015 May 22;74:27438 PMID 26004427
Cites: Philos Trans A Math Phys Eng Sci. 2011 May 13;369(1942):1866-82 PMID 21464077
Cites: N Engl J Med. 2010 Jan 28;362(4):285-7 PMID 20032316
Cites: Am J Public Health. 1972 Mar;62(3):337-42 PMID 5011164
Cites: Am J Public Health. 2012 Jul;102(7):1246-9 PMID 22594729
Cites: Lancet. 2009 May 16;373(9676):1693-733 PMID 19447250
Cites: Int J Circumpolar Health. 2011;70(5):576-83 PMID 22067095