Reducing Health Disparities in American Indians With Chronic Kidney Disease

被引：20

作者：

Narva, Andrew S. ^{[1
]}

Sequist, Thomas D. ^{[2
,3
]}

机构：

[1] Natl Inst Diabet & Digest Kidney Dis, Natl Kidney Dis Educ Program, Div Kidney Urol & Hematol Dis, NIH,Indian Hlth Serv, Bethesda, MD 20892 USA

[2] Brigham & Womens Hosp, Dept Med, Div Gen Med & Primary Care, Boston, MA 02115 USA

[3] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

来源：

SEMINARS IN NEPHROLOGY | 2010年 / 30卷 / 01期

关键词：

American Indian; health disparities; chronic kidney disease; end-stage renal disease; Native Americans; STAGE RENAL-DISEASE; PRIMARY-CARE; PERFORMANCE; OUTCOMES;

D O I：

10.1016/j.semnephrol.2009.10.007

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

American Indians and Alaska Natives comprise a diverse population with an increased burden of chronic kidney disease (CKD), largely owing to diabetes. Although transportation to rural dialysis units impairs access, quality of dialysis care appears similar to the US population. Similar to other racial and ethnic minorities, American Indians and Alaska Natives are less likely to receive kidney transplants. The causes of these disparities are as diverse as the population. The application of the chronic care model to CKD by the Indian Health Service is associated with a decrease in incidence of end-stage renal disease among diabetic patients and may be a useful model for reducing disparities in other populations at risk for CKD.

引用

页码：19 / 25

页数：7

共 28 条

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