Rural Health
Resources by Topic: Tribal communities
Assisting American Indian and Alaska Native Consumers
Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hózhó Randomized Clinical Trial
Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Current and Projected Flood Exposure for Alaska Coastal Communities
Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Bridging the Gap in HPV Vaccinations: Community-Driven Strategies in Rural Areas
Discusses development and implementation of an HPV vaccination intervention focused on education and outreach, primary care team training, and data assessment which took place at a Federally Qualified Health Center (FQHC) serving primarily rural and Native American patients in California. Highlights the significance of trust-building and communication efforts to reduce rural vaccine hesitancy.
Author(s): Julie H.T. Dang
Date: 04/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Discusses development and implementation of an HPV vaccination intervention focused on education and outreach, primary care team training, and data assessment which took place at a Federally Qualified Health Center (FQHC) serving primarily rural and Native American patients in California. Highlights the significance of trust-building and communication efforts to reduce rural vaccine hesitancy.
Author(s): Julie H.T. Dang
Date: 04/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Clinical Outcomes from the Alaska Native Tribal Health Consortium Colorectal Cancer Control Program: 2009–2015
Evaluates Colorectal Cancer Control Program (CRCCP) implementation by the Alaska Native Tribal Health Consortium (ANTHC) from 2009 to 2015. Presents data on CRCCP demographics, quality measures, clinical outcomes, and screening methods. Discusses the significance of colonoscopy provision for Native Alaskan tribal populations with high colorectal cancer incidence.
Author(s): Sarah H. Nash, Elizabeth Verhage, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 21(5), 552
Date: 04/2024
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Evaluates Colorectal Cancer Control Program (CRCCP) implementation by the Alaska Native Tribal Health Consortium (ANTHC) from 2009 to 2015. Presents data on CRCCP demographics, quality measures, clinical outcomes, and screening methods. Discusses the significance of colonoscopy provision for Native Alaskan tribal populations with high colorectal cancer incidence.
Author(s): Sarah H. Nash, Elizabeth Verhage, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 21(5), 552
Date: 04/2024
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The Cost-Efficacy of a Healthy Food Box for Managing Hypertension Within a Native American Population: A Group Randomized Controlled Trial
Evaluates the cost-efficacy of healthy food delivery and fruit and vegetable vouchers aimed at reducing hypertension in the Chickasaw Nation. Includes data on blood pressure and quality of life. Discusses the importance of food environment to cardiovascular disease reduction in rural and tribal areas.
Author(s): Austin Henderson, Robert Rosenman, Amber L. Fyfe-Johnson, et al.
Citation: Archives of Public Health, 82, 59
Date: 04/2024
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Evaluates the cost-efficacy of healthy food delivery and fruit and vegetable vouchers aimed at reducing hypertension in the Chickasaw Nation. Includes data on blood pressure and quality of life. Discusses the importance of food environment to cardiovascular disease reduction in rural and tribal areas.
Author(s): Austin Henderson, Robert Rosenman, Amber L. Fyfe-Johnson, et al.
Citation: Archives of Public Health, 82, 59
Date: 04/2024
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USDA Rural Utilities Service's Support for Tribes and Other Indigenous Entities
Provides an overview of U.S. Department of Agriculture (USDA) Rural Utilities Service (RUS) programs that help offset the costs of building and repairing utility systems in rural areas. Describes the types of tribal and other Indigenous entities eligible to apply for RUS programs. Highlights two USDA Rural Development authorities that can help tribes and other Indigenous entities access RUS programs. Outlines issues Congress may consider if it chooses to constrict, maintain, or expand the laws governing these programs.
Date: 04/2024
Sponsoring organization: Congressional Research Service
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Provides an overview of U.S. Department of Agriculture (USDA) Rural Utilities Service (RUS) programs that help offset the costs of building and repairing utility systems in rural areas. Describes the types of tribal and other Indigenous entities eligible to apply for RUS programs. Highlights two USDA Rural Development authorities that can help tribes and other Indigenous entities access RUS programs. Outlines issues Congress may consider if it chooses to constrict, maintain, or expand the laws governing these programs.
Date: 04/2024
Sponsoring organization: Congressional Research Service
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Indian Health Service Health Equity Report
Reports on efforts to advance health equity in the Indian Health Service (IHS). Discusses strategies and funding supporting access to facilities and services, quality of care, cultural appropriateness, wellness and disease prevention, and more.
Date: 04/2024
Sponsoring organization: Indian Health Service
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Reports on efforts to advance health equity in the Indian Health Service (IHS). Discusses strategies and funding supporting access to facilities and services, quality of care, cultural appropriateness, wellness and disease prevention, and more.
Date: 04/2024
Sponsoring organization: Indian Health Service
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Indian Health Service: Opportunities Exist to Improve Clinician Screening Adherence and Oversight
Examines the Indian Health Service's (IHS) oversight of the credentialing and privileging process that reviews and verifies the professional qualifications of IHS physicians. Describes administrative tasks performed by IHS clinicians at federally operated facilities and the amount of time spent on these tasks. Offers recommendations to IHS, including the development of a single, authoritative source outlining procedures to meet credentialing and privileging requirements.
Additional links: Full Report
Date: 04/2024
Sponsoring organization: Government Accountability Office
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Examines the Indian Health Service's (IHS) oversight of the credentialing and privileging process that reviews and verifies the professional qualifications of IHS physicians. Describes administrative tasks performed by IHS clinicians at federally operated facilities and the amount of time spent on these tasks. Offers recommendations to IHS, including the development of a single, authoritative source outlining procedures to meet credentialing and privileging requirements.
Additional links: Full Report
Date: 04/2024
Sponsoring organization: Government Accountability Office
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A Strategy To Support Perinatal Mental Health By Collaborating With Tribal Communities In Montana
Describes a community-based participatory approach with Montana tribal communities to create an online guide of mental health resources for prenatal to age three populations. Discusses the outcomes of collaboration, the Two-Eyed Seeing approach for health promotion, and opportunities for including cultural knowledge and values in future health promotion work.
Author(s): Amy Stiffarm, Stephanie Morton, Dawn Gunderson, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
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Describes a community-based participatory approach with Montana tribal communities to create an online guide of mental health resources for prenatal to age three populations. Discusses the outcomes of collaboration, the Two-Eyed Seeing approach for health promotion, and opportunities for including cultural knowledge and values in future health promotion work.
Author(s): Amy Stiffarm, Stephanie Morton, Dawn Gunderson, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
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