American Indian Health Policy: Historical Trends and Contemporary Issues

被引：206

作者：

Warne, Donald ^{[1
]}

Frizzell, Linda Bane ^{[1
]}

机构：

[1] N Dakota State Univ, MPH Program, Fargo, ND 58108 USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2014年 / 104卷

关键词：

D O I：

10.2105/AJPH.2013.301682

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have been promising, IHS underfunding must be resolved to ensure improved AI/AN health.

引用

页码：S263 / S267

页数：5

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