IDEAS home Printed from
   My bibliography  Save this article

Rethinking the systems of care definition: An indigenous perspective


  • Cross, Terry
  • Bartgis, Jami
  • Fox, Kathleen


This paper will describe systems of care as a cultural phenomenon by highlighting western versus indigenous models of thinking. Inherent within the system of care definition are biases and assumptions that result in a highly linear and culturally bound process for understanding a "reality" that is not necessarily shared by all. Overarching concerns include value-laden language, the development of the systems of care principles, and the conceptualization of the changing definitions over time. Within the definition of systems of care presented, there are biases and embedded assumptions that continue to cause disparities in health for culturally diverse communities. The paper will examine these cultural biases and assumptions and their link to access, availability, and acceptability of services.

Suggested Citation

  • Cross, Terry & Bartgis, Jami & Fox, Kathleen, 2010. "Rethinking the systems of care definition: An indigenous perspective," Evaluation and Program Planning, Elsevier, vol. 33(1), pages 28-31, February.
  • Handle: RePEc:eee:epplan:v:33:y:2010:i:1:p:28-31

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Hodges, Sharon & Ferreira, Kathleen & Israel, Nathaniel & Mazza, Jessica, 2010. "Systems of care, featherless bipeds, and the measure of all things," Evaluation and Program Planning, Elsevier, vol. 33(1), pages 4-10, February.
    Full references (including those not matched with items on IDEAS)


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:33:y:2010:i:1:p:28-31. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.