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Cited by 120Indigenous Health, Education, and RightsIndigenous Health and EducationIndigenous Cultures and History

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The Indian Health Service and American Indian/Alaska Native Health Outcomes

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Kruse, Gina, Lopez-Carmen, Victor A., Jensen, Anpotowin, Hardie, Lakotah, Sequist, Thomas D.·2022·Annual Review of Public Health
DOI 10.1146/annurev-publhealth-052620-103633
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Abstract

The Indian Health Service (IHS) has made huge strides in narrowing health disparities between American Indian and Alaska Native (AI/AN) populations and other racial and ethnic groups. Yet, health disparities experienced by AI/AN people persist, with deep historical roots combined with present-day challenges. Here we review the history of the IHS from colonization to the present-day system, highlight persistent disparities in AI/AN health and health care, and discuss six key present-day challenges: inadequate funding, limited human resources, challenges associated with transitioning services from federal to Tribal control through contracting and compacting, evolving federal and state programs, the need for culturally sensitive services, and the promise and challenges of health technology.

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Metadata

Authors
Kruse, G., Lopez-Carmen, V. A., Jensen, A., Hardie, L., & Sequist, T. D.
Affiliations
  • Harvard University (US)
  • Stanford University (US)
  • Brigham and Women's Hospital (US)
ORCID
Venue
Annual Review of Public Health
Publisher
Annual Reviews
Published
2022-04-05
Volume
43
Issue
1
Pages
559-576
ISSN
  • 0163-7525 (ISSN-L)
  • 1545-2093
DOI
10.1146/annurev-publhealth-052620-103633
OpenAlex
W4210556450
Cited by
120
References
2
Citations by year
2026: 21 · 2025: 29 · 2024: 35 · 2023: 26 · 2022: 9
FWCI
3.43
Type
journal article
Language
en
Open access
Licence
Locations
  • Annual Review of Public Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Indigenous Health and Education
  • Social Sciences › Anthropology › Indigenous Cultures and History
Keywords
Indian Health Service, Native American health, health disparities, health funding, health workforce shortage, culturally sensitive care, health technology
MeSH terms
Alaska Natives, Alaskan Natives, Humans, Indians, North American, United States, United States Indian Health Service, Outcome Assessment, Health Care, American Indian or Alaska Native

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