Document Detail

Financing American Indian health care: impacts and options for improving access and quality.
MedLine Citation:
PMID:  19847975     Owner:  HSR     Status:  MEDLINE    
(1) Indian Health Service (HIS) per patient funding is less than half of national per capita health spending, and declined further between 2003 and 2006. (2) Under-funding of the IHS system has led to explicit rationing of services to American Indian and Alaska Native patients, with many specialized services provided only for "life or limb threatening" conditions. (3) IHS patients report experiencing access barriers and rate the quality of care process substantially lower than do Medicaid beneficiaries, but most indicate they prefer to use IHS for their health care. (4) Options to increase the funding for American Indian and Alaska Native health care exist, but would impose higher costs on federal and state budgets and are unlikely to be feasible in the current economic environment. However, IHS might be able to make certain organizational changes that would increase efficiency and its ability to extend existing funding to cover more services.
Kathryn Langwell; Cheryl Anagnopoulos; Frank Ryan; Jacob Melson; Sandor Iron Rope
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Findings brief : health care financing & organization     Volume:  12     ISSN:  1553-0302     ISO Abbreviation:  Find Brief     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-22     Completed Date:  2009-11-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101149237     Medline TA:  Find Brief     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-4     Citation Subset:  T    
Sundance Research Institute, USA.
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MeSH Terms
Child Health Services
Financing, Government / organization & administration*
Health Care Surveys
Health Services Accessibility / economics*
Indians, North American
Interinstitutional Relations
Patient Satisfaction
Quality Assurance, Health Care / economics*
State Government
United States
United States Indian Health Service / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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