The Indian Health Service and American Indian Alaska Native Health Outcomes
The Indian Health Service (IHS) has made huge strides in narrowing health disparities between American Indian and Alaska Native (AI AN) populations and other racial and ethnic groups. Yet, health disparities experienced by AI AN people persist, with deep historical roots combined with present-day ch...
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| Veröffentlicht in: | Annual review of public health 2022-04, Vol.43 (1), p.559-576 |
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| container_title | Annual review of public health |
| container_volume | 43 |
| creator | Kruse, Gina Lopez-Carmen, Victor A Jensen, Anpotowin Hardie, Lakotah Sequist, Thomas D |
| description | The Indian Health Service (IHS) has made huge strides in narrowing health disparities between American Indian and Alaska Native (AI AN) populations and other racial and ethnic groups. Yet, health disparities experienced by AI AN people persist, with deep historical roots combined with present-day challenges. Here we review the history of the IHS from colonization to the present-day system, highlight persistent disparities in AI AN health and health care, and discuss six key present-day challenges: inadequate funding, limited human resources, challenges associated with transitioning services from federal to Tribal control through contracting and compacting, evolving federal and state programs, the need for culturally sensitive services, and the promise and challenges of health technology. |
| doi_str_mv | 10.1146/annurev-publhealth-052620-103633 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 0163-7525 |
| ispartof | Annual review of public health, 2022-04, Vol.43 (1), p.559-576 |
| issn | 0163-7525 1545-2093 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2623323855 |
| source | MEDLINE; EZB Electronic Journals Library |
| subjects | AI AN health Alaska Natives American Indian or Alaska Native history Humans Indian Health Service Indians, North American Outcome Assessment, Health Care United States - epidemiology United States Indian Health Service |
| title | The Indian Health Service and American Indian Alaska Native Health Outcomes |
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