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Challenges to Native American health care
J Noren1, D Kindig, A Sprenger
1Univ. of Wisconsin-Madison 53706, USA. jjnoren@facstaff.wisc.edu
Public Health Reports (Washington, D.C. : 1974)
|January 14, 1999
Summary
Native American health programs face significant funding and operational challenges. Skilled management is crucial for tribal authorities to navigate these complex changes effectively.
Area of Science:
- Public Health
- Health Services Research
- Tribal Health Management
Background:
- Native American health programs confront multifaceted challenges including funding shortfalls and increased tribal control.
- Growing service populations outpace funding growth, exacerbating resource limitations.
Purpose of the Study:
- To assess organizational and management problems within Native American health programs.
- To understand the impact of evolving healthcare landscapes on these programs.
Main Methods:
- Onsite surveys were conducted across 39 Native American health programs in 10 states.
- Qualitative and quantitative data were collected to evaluate program operations and challenges.
Main Results:
- A significant trend towards transferring health programs from the Indian Health Service to tribal operation was observed.
- Programs face difficulties adapting to changes in federal funding and managed care involvement.
Conclusions:
- Effective long-term success for Native American health programs requires skilled management.
- Adaptability and strategic leadership are essential for navigating the dynamic healthcare environment.
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