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Rural Health
Resources by Topic: American Indian or Alaska Native

Alaska Native Patient and Provider Perspectives on the Multitarget Stool DNA Test Compared with Colonoscopy for Colorectal Cancer Screening
Studies the potential for take-home multitarget stool DNA testing (MT-sDNA) for colorectal cancer to increase access to screening for Alaska Native communities. Discusses barriers to colonoscopy screening, including access to colonoscopy providers and patient resistance to the procedure. Analyzes data from surveys of patients and providers, comparing patient responses based on age and emphasizing acceptability of MT-sDNA among both groups.
Author(s): Diana G. Redwood, Ian D. Blake, Ellen M. Provost, et al.
Citation: Journal of Primary Care and Community Health, 10, 1-7
Date: 10/2019
Type: Document
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Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 10/2019
Type: Document
Sponsoring organization: Indian Health Service
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Strategic Options for the Modernization of the Indian Health Service Health Information Technology: Final Report
Identifies recommended approaches and next steps for modernizing the Indian Health Service use of health information technology (HIT). Addresses the needs of both patients and the health workforce that will use the system, as well as governance and a variety of technological issues. Lists constraints to HIT modernization along with proposed mitigations for those constraints.
Additional links: Roadmap: Executive Summary
Date: 10/2019
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Subcommittee on Health Oversight Hearing: Native Veterans' Access to Healthcare
Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Date: 10/2019
Type: Document
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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Pre-Disaster Recovery Planning Guide for Tribal Governments
Provides a framework and guidance for tribal government leadership involved in pre-disaster recovery planning to ensure their communities can act rapidly and efficiently once a disaster occurs. Identifies a set of activities recognizing that tribes have varying levels of capacity and methods of planning. These include: basic activities to assist in identifying recovery partners, community assets, resources and resource gaps, and financial and management procedures; recommended activities discussing the development of a recovery ordinance and recovery priorities; and formal activities for tribes with significant resources to develop a comprehensive holistic pre-disaster plan.
Date: 09/2019
Type: Document
Sponsoring organization: Federal Emergency Management Agency
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Public Health and Health Professional Education at a Tribal College: A Collaborative Immersion Program in Rural North Dakota
Describes a partnership between a tribal college in rural Spirit Lake, North Dakota and New York medical education institutions to offer summer courses on healthcare professions and public health from 2009-2015. Discusses the lack of Native American representation in healthcare. Presents data on participant experiences from a small focus group of former students, instructors, and visiting professionals, exploring the successes and challenges of developing the program.
Author(s): Charlotte Austin, Elizabeth Berg, Loretta Heuer, et al.
Citation: Rural and Remote Health, 19(3), 5020
Date: 09/2019
Type: Document
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Maternal and Child Health Assessment for American Indians and Alaska Natives Using a Women, Infants, and Children Program in Utah
Reports on the health indicators of pregnant and postpartum mothers, infants, and children within American Indian and Alaska Native (AI/AN) communities from 2014-2018. Data presented is derived from the Utah Department of Health's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Offers recommendations from professional healthcare organizations to improve the health of AI/AN pregnant and postpartum mothers, infants, and children.
Date: 09/2019
Type: Document
Sponsoring organizations: Inter Tribal Council of Arizona, Inc., Tribal Epidemiology Center, Utah Department of Health and Human Services
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Tribal Nursing Homes: Principles of Trauma-informed Care
Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Collaborating for Prosperity With American Indians and Alaska Natives: Rural Development Programs for Tribes, Tribal Families, Children, and Communities
Highlights the major USDA Rural Development (RD) programs and initiatives that support American Indians and Alaska Natives. Covers topics such as food security, housing, education, healthcare, economic opportunity, and infrastructure. Features success stories of how these programs have been used in tribal communities. Also includes contact information for the RD office in each state.
Date: 09/2019
Type: Document
Sponsoring organization: USDA Rural Development
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Indian Health Service: Facilities Reported Expanding Services Following Increases in Health Insurance Coverage and Collections
Report details rates of health insurance coverage in patients seen at Indian Health Service facilities. Looks at the rates of coverage by third party insurers, such as Medicare, Medicaid, and private plans, from 2013-2018.
Additional links: Full Report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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