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Rural Health
Resources by Topic: American Indian or Alaska Native

Purchased/Referred Care
Explains the Purchased/Referred Care (PRC) program, formerly the Contract Health Services program, which is a program that guides usage of healthcare services outside of Indian Health Service or tribal healthcare facilities when needed.
Date: 06/2016
Type: Document
Sponsoring organization: Indian Health Service
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Causes and Disparities in Death Rates among Urban American Indian and Alaska Native Populations, 1999-2009
Describes the leading causes of death for urban American Indian/Alaska Native (AI/AN) populations; includes a comparison with both urban White and rural AI/AN populations. Covers statistics for the leading causes of death for urban and rural AI/AN populations by contract health service delivery area.
Author(s): Jasmine L. Jacobs-Wingo, David K. Espey, Amy V. Groom, et al.
Citation: American Journal of Public Health, 106(5), 906-914
Date: 05/2016
Type: Document
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Emerging LTSS Issues in Indian Country: Alzheimer's and Dementia
Presents a report on Alzheimer's disease in Native American communities. Looks at available data and makes recommendations for potential future research. Highlights Wisconsin's Tribal Dementia Care Program as a model for culturally competent memory care.
Date: 05/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guiding Principles for Engaging in Research with Native American Communities
Offers guidance on how to conduct research in and with Native communities based on 11 principles focusing on cultural humility, relationship building, relevance, and more.
Date: 04/2016
Type: Document
Sponsoring organizations: Albuquerque Area Southwest Tribal Epidemiology Center, Nadine Tafoya and Associates, New Mexico Tribal Strategic Prevention Framework Project, Pacific Institute for Research and Evaluation, UNM Center for Rural and Community Behavioral Health, UNM Prevention Research Center
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Demographic, Clinical, and Service Utilization Factors Associated with Suicide-Related Visits among Alaska Native and American Indian Adults
Details a study on the demographic, clinical, and service utilization factors of Alaska Native and American Indian participants in 2 state-wide studies on suicide in Alaska. Breaks down participant characteristics by gender, age group, and whether they live in a rural or urban area, among other factors.
Author(s): Denise A. Dillard, Jaedon P. Avey, Renee F. Robinson, et al.
Citation: Suicide and Life-Threatening Behavior, 47(1), 27-37
Date: 04/2016
Type: Document
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Early Care, Early Education, and Home Visiting in American Indian and Alaska Native Communities: Design Options for Assessing Early Childhood Needs
Highlights a report presenting a framework for future studies of the unmet needs in early childhood care, education, and home visiting in American Indian and Alaska Native communities. Identifies study designs using existing data on the national level and designs requiring new data collection at the community level.
Author(s): Lizabeth Malone, Emily Knas, Michael Cavanaugh, Jerry West
Date: 04/2016
Type: Document
Sponsoring organization: Mathematica Policy Research
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Transforming Child Welfare Outcomes for Alaska Native Children: Strategic Plan 2016-2020
Discusses a 5 year sustainable plan to transform outcomes for Alaska Native children in the child welfare system, and includes consultant conclusions and recommendations.
Date: 04/2016
Type: Document
Sponsoring organization: Alaska Department of Health
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Indian Health Service: Actions Needed to Improve Oversight of Patient Wait Times
Reviews Indian Health Services (IHS) oversight policies and finds healthcare access measurement issues within IHS due to poor performance tracking in place. Highlights inadequate services at some facilities that have resulted in long wait times and lower quality of care provided.
Additional links: Full Report
Date: 04/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Tribal Internet Access: Increased Federal Coordination and Performance Measurement Needed
Interviews officials from 21 tribal entities and 6 service providers to understand perspectives on high-speed internet access and barriers within remote tribal communities. Highlights the importance of high-speed internet for rural health care facilities to support telemedicine.
Additional links: Full Report
Date: 04/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Access to Care and Diabetes Management among Older American Indians with Type 2 Diabetes
Highlights a study on the role of healthcare access in diabetes management among American Indians over 50 with type 2 diabetes. Breaks down data by socio-demographic information, travel time to source of care, and availability of transportation.
Author(s): Emily J. Nicklett, Adam Omidpanah, Ron Whitener, Barbara V. Howard, Spero M. Manson
Citation: Journal of Aging and Health, 29(2), 206-221
Date: 03/2016
Type: Document
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