BibTeX
@MISC{Roubideaux04areview,
author = {Yvette Roubideaux},
title = {A REVIEW OF THE QUALITY OF HEALTH CARE},
year = {2004}
}
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Abstract
ABSTRACT: The author documents health care disparities for American Indians and Alaska Natives (AIANs) and reports on progress made in the last five years to reduce or eliminate gaps in care. In examining the demographics of this group, she notes in particular a substantial urban AIAN population that is both understudied and which may be underserved by the traditional AIAN health care infrastructure. The author also reports on changes to this infrastructure, with management shifting from the Indian Health Service (IHS) to tribes and the use of more managed care—neither of which changes have been well studied. New initiatives for quality monitoring are described, including the IHS’s initiatives under the Government Performance and Results Act. The author also reviews initiatives on the treatment and control of specific medical conditions. The author offers 10 conclusions/recommendations with respect to disparities between medical care for AIANs and the general population. Support for this paper was provided by The Commonwealth Fund. The views presented
Keyphrases
quality health care commonwealth fund new initiative traditional aian health care infrastructure managed care neither substantial urban aian population result act american indian general population government performance ihs initiative medical care quality monitoring indian health service specific medical condition conclusion recommendation alaska native author document health care disparity
