Effective communication for Native Americans living in North America and Hawaii includes taking time in conversation and providing information indirectly through story-telling, example, and metaphor. It also includes listening and using humor to build relationships through communication. Modern medical community members communicate by moving quickly in a time efficient manner to learn symptoms, make diagnoses, and relay health information to assist as many patients as possible. Native Americans may not understand the response they receive from the modern medical community and may not trust or follow the recommended treatment. Examining effective communication for Native Americans and those who treat them is essential as Native Americans are at greater risk for life-threatening illness than other minority groups in North America and Hawaii. This article examines effective communication for Native American health care, the existing problems, and the potential impact of these problems. Measures to improve communication in this health context are outlined.
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