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The Indian Health Service (IHS)

The IHS and and the Role it Plays in Addressing Disparities in Health Care Among the American Indian/Alaska Native Population.

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.

What is the Indian Health Service?

IHS: a fallacy of Health Care

Why is the AI/AN population an area of concern?

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

Causes

Geographical distance

What type of Health Care does the IHS provide?

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

School Health

Sustainability

Visualizing Data Reports

Behavioral Health

Environmental Health

Health Communications

Health Promotion

Injury Prevention

Complexities of Classification

Positive Outlook

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

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