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What is the Indian Health Service and what types of Heath care do they provide?
Why is the AI/AN population an area of concern?
Addressing the lack of health coverage for more than half of self-identified Native American/Alaska Natives in America.
The IHS is responsible for providing medical and public health to American Indians and Alaska Natives.
Only responsible for members of federally recognized tribes.
AI/AN have higher burden of illness, higher rate of injury and premature mortality than other groups.
AI/AN more likely to be uninsured and have lower incomes.
AI/AN have higher levels of unmet needs and inability to access health care.
Out of 4.1 million AI/AN , only 1.5 receive coverage.
Only a fourth of population is eligible for IHS
Must be a part of a federally recognized tribe to receive health care
Limited access to health care and low rate of utilization
Majority of AI/AN have incomes below 200% poverty level
Only fewer than half of this majority are eligible for IHS
Majority of American Indians live on reservations on traditional homelands.
Only 34% of AI/AN live in metropolitan areas compared to 78% of other Americans living in metropolitan areas.
Traveling time is 60% longer; barely any private or public transportation.
Injury Prevention
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Unintentional injury as the leading cause for death
Injury prevention programs: TIPCAP
Death by injury rate has decreased by 58% b/n 1973-2003
Only subgroups of AI/AN are represented in health care
Data collected only represents those in federally recognized tribes
This gap in data is shown through the disparity between decreases in mortality rates between AI/AN and whites.
Decrease in death rate by injury
Electronic Health Records have improved data collection and reduced the disparities in health care
Health care that is provided by IHS is almost as efficient as health care received by non-Hispanic Whites