Work

Challenges to Native American health care.

Year: 1998
Type: article
Study design: Observational Study
Abstract: Native American health care programs face complex and unprecedented challenges resulting from the increased assumption of clinical operations by tribal authorities, shortfalls in Federal funding, modifications in state and Federal health and welfare programs, and intensifying involvement with managed care organizations. These challenges are further complicated by service populations that are increasing at a faster rate than the growth in funding. The authors conducted onsite surveys of 39 Native American health programs in 10 states in order to assess the organizational and management problems they faced. The trend toward transfer of health programs from the Indian Health Service to tribal operation seems likely to continue and accelerate. The survey results indicate that in order for programs to be effective in the long run, they will need to be guided by skilled managers able to adapt to these powerful changes in the health care environment.
Authors: J Noren, D Kindig, A Sprenger
Language: English
Subfield: Health
Open Access status: green
OpenAlex ID: W2469334205
FWCI: 0.819
Cites: 4
Cited by: 26
Related to: 10