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Rural Tribal Health – Resources

Selected recent or important resources focusing on Rural Tribal Health.

Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies
Analyzes research on suicide prevention for Indigenous populations in the U.S. Highlights Indigenous voices in the research and selects for a number of programmatic themes, such as integration of culture as prevention, support preferences, and challenges to prevention, among others.
Author(s): Meenakshi Richardson
Citation: International Journal of Environmental Research and Public Health, 20(22), 7064
Date: 11/2023
Type: Document
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Provider- and System-Level Barriers and Facilitators to Colonoscopy and Multi-Target Stool DNA for Colorectal Cancer Screening in Rural/Remote Alaska Native Communities
Highlights a study of the barriers and facilitators to colorectal cancer screening for Alaska Native communities in rural and remote regions of Alaska. Bases findings on interviews with providers and an analysis of system-level factors, such as travel time and costs, weather, and COVID-19, among others.
Author(s): Diana Redwood, Melissa Toffolon, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(22), 7030
Date: 11/2023
Type: Document
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Developing a Culturally Relevant Physical Activity Guide for Alaska Native Head Start Students in Rural Alaska: The Got Neqpiaq? Study
Highlights a survey of Alaska Native Elders, teachers, and parents on cultural modifications to the Head Start preschool programs' physical playtime activities in tribal communities. Features a partnership between the Alaska Native Tribal Health Consortium, Head Start, and the Rural Alaska Community Action Program. Details lessons learned from survey results on developing culturally competent physical education programming for Alaska Native preschoolers.
Author(s): Teresa Hicks, Barb Stillwater, Kathryn Koller, et al.
Citation: International Journal of Circumpolar Health, 82(1), 2287791
Date: 11/2023
Type: Document
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Invisible Children, Invisible Families: A Blueprint for Supporting The Child Care Needs Of American Indian And Alaska Native Families
Discusses the review of 184 Tribal Child Care Plans to understand access to culturally relevant child care and childhood education in tribal areas. Provides recommendations such as strengthening communication and collaboration between state governments and tribes, creating new approaches for tribes to serve members living off reservation, and reforming federal funding to address tribal needs using data-driven methods.
Author(s): Barb Fabre, Rob Grunewald, Linda K. Smith, Caroline Osborn
Date: 11/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Health Coverage Among American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander People
Provides an overview of health insurance coverage for American Indian and Alaska Native (AIAN) and Native Hawaiian and Other Pacific Islander (NHOPI) people. Provides additional information on demographics, work status, income, and English proficiency. Discusses issues of access, equity, and geographic isolation for these communities.
Author(s): Latoya Hill, Samantha Artiga
Date: 11/2023
Type: Document
Sponsoring organization: KFF
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Bridging the Rural–Urban Health-Care Divide Through Community Research Partnerships
Highlights a health equity program that partners researchers with a remote indigenous community. Discusses the Siamit program in a remote, predominately Iñupiat, region of Alaska that partners with Harvard Medical School and Massachusetts General Hospital working to advance health equity.
Author(s): Lucas Trout, Margaret Smith, Linda Joule, Stuart Harris
Citation: Nature
Date: 11/2023
Type: Document
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Indian Health Service: Many Federal Facilities Are in Fair or Poor Condition and Better Data Are Needed on Medical Equipment
Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Type: Audio
Sponsoring organization: American Hospital Association
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Gastrointestinal Cancer in American Indian and Alaska Native People
Provides information on incidence rates of various gastrointestinal (GI) cancers among non-Hispanic American Indian and Alaska Native (NH-AIAN) people with data broken down by sex and U.S. region.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Last Updated: 1/9/2024