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Annual Review of Public Health

Volume 43, 2022

The Indian Health Service and American Indian/Alaska Native Health Outcomes

Abstract

The Indian Health Service (IHS) has made huge strides in narrowing health disparities between American Indian and Alaska Native (AI/AN) populations and other racial and ethnic groups. Yet, health disparities experienced by AI/AN people persist, with deep historical roots combined with present-day challenges. Here we review the history of the IHS from colonization to the present-day system, highlight persistent disparities in AI/AN health and health care, and discuss six key present-day challenges: inadequate funding, limited human resources, challenges associated with transitioning services from federal to Tribal control through contracting and compacting, evolving federal and state programs, the need for culturally sensitive services, and the promise and challenges of health technology.

Keyword(s): AI/AN health, history, Indian Health Service
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2022-04-05
2024-04-19
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Literature Cited

  1. 1. 
    AAMC (Assoc. Am. Med. Coll.) 2018. Reshaping the journey: American Indians and Alaska Natives in medicine. Rep. AAMC Washington, DC: https://store.aamc.org/downloadable/download/sample/sample_id/243/
    [Google Scholar]
  2. 2. 
    AAMC (Assoc. Am. Med. Coll.) 2019. . Diversity in medicine: facts and figures Exec. Summ., AAMC Washington, DC: https://www.aamc.org/data-reports/workforce/report/diversity-medicine-facts-and-figures-2019
    [Google Scholar]
  3. 3. 
    Allison M, Rivers PA, Fottler MD 2004. Can community health center funding enhance health services for Native American Tribes and organizations?. J. Health Care Poor Underserved 15:193–205
     [Google Scholar]
  4. 4. 
    Allison MT, Rivers PA, Fottler MD. 2007. Future public health delivery models for Native American Tribes. Public Health 121:296–307
     [Google Scholar]
  5. 5. 
    Amlung J, Huth H, Cullen T, Sequist T. 2020. Modernizing health information technology: lessons from healthcare delivery systems. JAMIA Open 3:369–77
     [Google Scholar]
  6. 6. 
    Armenta BE, Whitbeck LB, Habecker PN. 2016. The historical loss scale: longitudinal measurement equivalence and prospective links to anxiety among North American indigenous adolescents. Cult. Divers. Ethn. Minor. Psychol. 22:1–10
     [Google Scholar]
  7. 7. 
    Auclair G, Sappa M. 2012. Mental health in Inuit youth from Nunavik: clinical considerations on a transcultural, interdisciplinary, community-oriented approach. J. Can. Acad. Child Adolesc. Psychiatry 21:124–26
     [Google Scholar]
  8. 8. 
    Bhaskar R, O'Hara BJ. 2017. Indian Health Service coverage among American Indians and Alaska Natives in federal Tribal areas. J. Health Care Poor Underserved 28:1361–75
     [Google Scholar]
  9. 9. 
    Boccuti C, Swoope C, Artiga S. 2014. The role of Medicare and the Indian Health Service for American Indians and Alaska Natives: health, access and coverage Rep., Kaiser Fam. Found. Menlo Park, CA: https://files.kff.org/attachment/report-the-role-of-medicare-and-the-indian-health-service-for-american-indians-and-alaska-natives-health-access-and-coverage
  10. 10. 
    Brave Heart MYH 2003. The historical trauma response among natives and its relationship with substance abuse: a Lakota illustration. J. Psychoactive Drugs 35:7–13
     [Google Scholar]
  11. 11. 
    Brave Heart MYH, Chase J, Elkins J, Altschul DB 2011. Historical trauma among Indigenous Peoples of the Americas: concepts, research, and clinical considerations. J. Psychoactive Drugs 43:282–90
     [Google Scholar]
  12. 12. 
    Brown C, Lalla A, Curley C, King C, Muskett O et al. 2020. Community-clinic linkages: qualitative provider perspectives on partnering with community health representatives in Navajo Nation. BMJ Open 10:e031794
     [Google Scholar]
  13. 13. 
    Brown SR, Birnbaum B. 2005. Student and resident education and rural practice in the Southwest Indian Health Service: a physician survey. Fam. Med. 37:701–5
     [Google Scholar]
  14. 14. 
    Bullock A, Sheff K, Hora I, Burrows NR, Benoit SR et al. 2020. Prevalence of diagnosed diabetes in American Indian and Alaska Native adults, 2006–2017. BMJ Open Diabetes Res. Care 8:e001218
     [Google Scholar]
  15. 15. 
    Carroll M, Cullen T, Ferguson S, Hogge N, Horton M, Kokesh J. 2011. Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. Perspect. Health Inf. Manag. 8:1d
     [Google Scholar]
  16. 16. 
    Clark TC, Johnson EA, Kekus M, Newman J, Patel PS et al. 2014. Facilitating access to effective and appropriate care for youth with mild to moderate mental health concerns in New Zealand. J. Child Adolesc. Psychiatr. Nurs. 27:190–200
     [Google Scholar]
  17. 17. 
    Espey DK, Jim MA, Cobb N, Bartholomew M, Becker T et al. 2014. Leading causes of death and all-cause mortality in American Indians and Alaska Natives. Am. J. Public Health 104:Suppl. 3S303–11
     [Google Scholar]
  18. 18. 
    Espey DK, Wiggins CL, Jim MA, Miller BA, Johnson CJ, Becker TM 2008. Methods for improving cancer surveillance data in American Indian and Alaska Native populations. Cancer 113:1120–30
     [Google Scholar]
  19. 19. 
    Fonda SJ, Bursell S-E, Lewis DG, Clary D, Shahon D, Horton MB 2020. The Indian Health Service primary care-based teleophthalmology program for diabetic eye disease surveillance and management. Telemed. J. e-Health 26:1466–74
     [Google Scholar]
  20. 20. 
    Franz C, Atwood S, Orav EJ, Curley C, Brown C et al. 2020. Community-based outreach associated with increased health utilization among Navajo individuals living with diabetes: a matched cohort study. BMC Health Serv. Res. 20:460
     [Google Scholar]
  21. 21. 
    Frean M, Shelder S, Rosenthal MB, Sequist TD, Sommers BD. 2016. Health reform and coverage changes among Native Americans. JAMA Intern. Med. 176:858–60
     [Google Scholar]
  22. 22. 
    Frerichs L, Bell R, Lich KH, Reuland D, Warne D 2019. Regional differences in coverage among American Indians and Alaska Natives before and after the ACA. Health Aff. 38:1542–49
     [Google Scholar]
  23. 23. 
    Frost F, Tollestrup K, Ross A, Sabotta E, Kimball E 1994. Correctness of racial coding of American Indians and Alaska Natives on the Washington State death certificate. Am. J. Prev. Med. 10:290–94
     [Google Scholar]
  24. 24. 
    Gampa V, Smith C, Muskett O, King C, Sehn H et al. 2017. Cultural elements underlying the community health representative—client relationship on Navajo Nation. BMC Health Serv. Res. 17:19
     [Google Scholar]
  25. 25. 
    Gone JP, Trimble JE. 2012. American Indian and Alaska Native mental health: diverse perspectives on enduring disparities. Annu. Rev. Clin. Psychol. 8:131–60
     [Google Scholar]
  26. 26. 
    Goodkind JR, Ross-Toledo K, John S, Hall JL, Ross L et al. 2010. Promoting healing and restoring trust: policy recommendations for improving behavioral health care for American Indian/Alaska Native adolescents. Am. J. Community Psychol. 46:386–94
     [Google Scholar]
  27. 27. 
    Gottlieb K. 2007. The family wellness warriors initiative. Alaska Med 49:49–54
     [Google Scholar]
  28. 28. 
    Hanson JD, Weber TL, Shrestha U, Bares VJ, Seiber M, Ingersoll K. 2020. Acceptability of an eHealth intervention to prevent alcohol-exposed pregnancy among American Indian/Alaska Native teens. Alcoholism Clin. Exp. Res. 44:196–202
     [Google Scholar]
  29. 29. 
    Haverkamp D, English K, Jacobs-Wingo J, Tjemsland A, Espey D 2020. Effectiveness of interventions to increase colorectal cancer screening among American Indians and Alaska Natives. Prev. Chron. Dis. 17:200049
     [Google Scholar]
  30. 30. 
    Hays H. 2003. The IHS electronic health record project. IHS Prim. Care Provid. 28:233–36
     [Google Scholar]
  31. 31. 
    Hinton R, Kavanagh DJ, Barclay L, Chenhall R, Nagel T 2015. Developing a best practice pathway to support improvements in Indigenous Australians’ mental health and well-being: a qualitative study. BMJ Open 5:e007938
     [Google Scholar]
  32. 32. 
    Hughes MS, Apostolou A, Reilley B, Leston J, McCollum J, Iralu J. 2021. Electronic health record reminders for chlamydia screening in an American Indian population. Public Health Rep 136:320–26
     [Google Scholar]
  33. 33. 
    Incze MA, Tobey ML, Sequist TD 2020. Investing in the health of American Indians and Alaska Natives. JAMA Intern. Med. 180:633–34
     [Google Scholar]
  34. 34. 
    Indian Health Serv 2020. IHS receives more than $1 billion for coronavirus response Press Release April 3. https://www.ihs.gov/sites/newsroom/themes/responsive2017/display_objects/documents/IHSPressRelease_IHS_CARES_Act_Funding_Release_04032020.pdf
  35. 35. 
    Jiang L, Johnson A, Pratte K, Beals J, Bullock A et al. 2018. Long-term outcomes of lifestyle intervention to prevent diabetes in American Indian and Alaska Native communities: the Special Diabetes Program for Indians diabetes prevention program. Diabetes Care 41:1462–70
     [Google Scholar]
  36. 36. 
    Jim MA, Arias E, Seneca DS, Hoopes MJ, Jim CC et al. 2014. Racial misclassification of American Indians and Alaska Natives by Indian Health Service contract health service delivery area. Am. J. Public Health 104:Suppl. 3S295–302
     [Google Scholar]
  37. 37. 
    John-Henderson NA, Oosterhoff B, Kampf TD, Hall B, Johnson LR et al. 2021. Historical loss: implications for health of American Indians in the Blackfeet community. Ann. Behav. Med. https://doi.org/10.1093/abm/kaab032. In press
    [Crossref] [Google Scholar]
  38. 38. 
    Kim C. 2000. Recruitment and retention in the Navajo Area Indian Health Service. West J. Med. 173:240–43
     [Google Scholar]
  39. 39. 
    Korenbrot C, Kao C, Crouch JA. 2009. Funding of Tribal health programs linked to lower rates of hospitalization for conditions sensitive to ambulatory care. Med. Care 47:88–96
     [Google Scholar]
  40. 40. 
    Korenbrot CC, Ehlers S, Crouch JA. 2003. Disparities in hospitalizations of rural American Indians. Med. Care 41:626–36
     [Google Scholar]
  41. 41. 
    Kowanko IC, Stewart T, Power C, Fraser R, Love I, Bromley T 2009. An Aboriginal family and community healing program in metropolitan Adelaide: description and evaluation. Aust. Indig. Health Bull. 9:41–12
     [Google Scholar]
  42. 42. 
    Kramer BJ, Vivrette RL, Satter DE, Jouldjian S, McDonald LR 2009. Dual use of Veterans Health Administration and Indian Health Service: healthcare provider and patient perspectives. J. Gen. Intern. Med. 24:758–64
     [Google Scholar]
  43. 43. 
    Kramer BJ, Wang M, Jouldjian S, Lee ML, Finke B, Saliba D. 2009. Veterans Health Administration and Indian Health Service: healthcare utilization by Indian Health Service enrollees. Med. Care 47:670–76
     [Google Scholar]
  44. 44. 
    Kruse CS, Bouffard S, Dougherty M, Parro JS. 2016. Telemedicine use in rural Native American communities in the era of the ACA: a systematic literature review. J. Med. Syst. 40:145
     [Google Scholar]
  45. 45. 
    Kruse GR, Hays H, Orav EJ, Palan M, Sequist TD 2017. Meaningful use of the Indian Health Service electronic health record. Health Serv. Res. 52:1349–63
     [Google Scholar]
  46. 46. 
    Kunitz SJ. 1996. The history and politics of US health care policy for American Indians and Alaskan Natives. Am. J. Public Health 86:1464–73
     [Google Scholar]
  47. 47. 
    Kunitz SJ. 2008. Ethics in public health research: changing patterns of mortality among American Indians. Am. J. Public Health 98:404–11
     [Google Scholar]
  48. 48. 
    Kunitz SJ, Veazie M, Henderson JA. 2014. Historical trends and regional differences in all-cause and amenable mortality among American Indians and Alaska Natives since 1950. Am. J. Public Health 104:Suppl. 3S268–77
     [Google Scholar]
  49. 49. 
    Lucero NM, Bussey M. 2012. A collaborative and trauma-informed practice model for urban Indian child welfare. Child Welfare 91:89–112
     [Google Scholar]
  50. 50. 
    Lucero J, Roubideaux YD. 2022. Advancing diabetes prevention and control in American Indians and Alaska Natives. Annu. Rev. Public Health 43:461–75
     [Google Scholar]
  51. 51. 
    Malone JL, Stanley D. 2013. Community-based mental health initiatives in a First Nations health centre: reflections of a transdisciplinary team. Pimatisiwin 11:433–39
     [Google Scholar]
  52. 52. 
    Martin JE. 2003. “The greatest evil”: interpretations of Indian prohibition laws, 1832–1953. Great Plains Q 23:35–53
     [Google Scholar]
  53. 53. 
    McLeigh JD. 2010. What are the policy issues related to the mental health of Native Americans?. Am. J. Orthopsychiatry 80:177–82
     [Google Scholar]
  54. 54. 
    Melkonian SC, Henley SJ, Senkomago V, Thomas CC, Jim MA et al. 2020. Cancers associated with human papillomavirus in American Indian and Alaska Native populations—United States, 2013–2017. MMWR 69:1283–87
     [Google Scholar]
  55. 55. 
    Melkonian SC, Jim MA, Haverkamp D, Wiggins CL, McCollum J et al. 2019. Disparities in cancer incidence and trends among American Indians and Alaska Natives in the United States, 2010–2015. Cancer Epidemiol. Biomarkers Prev. 28:1604–11
     [Google Scholar]
  56. 56. 
    Moore K, Jiang L, Manson SM, Beals J, Henderson W et al. 2014. Case management to reduce cardiovascular disease risk in American Indians and Alaska Natives with diabetes: results from the Special Diabetes Program for Indians Healthy Heart Demonstration Project. Am. J. Public Health 104:e158–64
     [Google Scholar]
  57. 57. 
    Narva A. 2018. Population health for CKD and diabetes: lessons from the Indian Health service. Am. J. Kidney Dis. 71:407–11
     [Google Scholar]
  58. 58. 
    Narva AS. 2008. Reducing the burden of chronic kidney disease among American Indians. Adv. Chronic Kidney Dis. 15:168–73
     [Google Scholar]
  59. 59. 
    NCAI (Natl. Congr. Am. Indians) 2017. Tribal infrastructure: investing in Indian country for a stronger America Rep., NCAI Washington, DC: https://www.ncai.org/NCAI-InfrastructureReport-FINAL.pdf
  60. 60. 
    Ndikum-Moffor FM, Braiuca S, Daley CM, Gajewski BJ, Engelman KK. 2013. Assessment of mammography experiences and satisfaction among American Indian/Alaska Native women. Women's Health Issues 23:e395–402
     [Google Scholar]
  61. 61. 
    Noren J, Kindig D, Sprenger A 1998. Challenges to Native American health care. Public Health Rep 113:22–33
     [Google Scholar]
  62. 62. 
    Payne HE, Steele M, Bingham JL, Sloan CD. 2018. Identifying and reducing disparities in mental health outcomes among American Indians and Alaskan Natives using public health, mental healthcare and legal perspectives. Adm. Policy Ment. Health 45:5–14
     [Google Scholar]
  63. 63. 
    Rhoades DA. 2005. Racial misclassification and disparities in cardiovascular disease among American Indians and Alaska Natives. Circulation 111:1250–56
     [Google Scholar]
  64. 64. 
    Rhoades ER, Hammond J, Welty TK, Handler AO, Amler RW. 1987. The Indian burden of illness and future health interventions. Public Health Rep 102:361–68
     [Google Scholar]
  65. 65. 
    Rhoades ER, Rhoades DA. 2014. The public health foundation of health services for American Indians & Alaska Natives. Am. J. Public Health 104:Suppl. 3S278–85
     [Google Scholar]
  66. 66. 
    Rosenthal EL, Menking P, Begay M-G. 2020. Fighting the COVID-19 merciless monster: lives on the line—community health representatives' roles in the pandemic battle on the Navajo Nation. J. Ambul. Care Manag. 43:301–5
     [Google Scholar]
  67. 67. 
    Ross RE, Garfield LD, Brown DS, Raghavan R. 2015. The Affordable Care Act and implications for health care services for American Indian and Alaska Native individuals. J. Health Care Poor Underserved 26:1081–88
     [Google Scholar]
  68. 68. 
    Roubideaux Y. 2005. Beyond Red Lake—the persistent crisis in American Indian health care. N. Engl. J. Med. 353:1881–83
     [Google Scholar]
  69. 69. 
    Saha S, Shipman S. 2006. The rationale for diversity in health professions: a review of the evidence Rep., US Dep. Health Hum. Serv., Health Resour. Serv. Adm., Bur. Health Profess. Hyattsville, MD:
  70. 70. 
    Sancar F, Abbasi J, Bucher K. 2018. Mortality among American Indians and Alaska Natives. JAMA 319:112
     [Google Scholar]
  71. 71. 
    Satter DE, Wallace SP, Le TM, Zubiate A 2002. Improving health insurance coverage for American Indian Children and Families under Healthy Families (SCHIP) Rep., Univ. Calif. Los Angel. Cent. Health Policy Res. Los Angeles: http://healthpolicy.ucla.edu/publications/Documents/PDF/Improving%20Health%20Insurance%20Coverage%20for%20American%20Indian%20Children%20and%20Families%20under%20Healthy%20Families%20(SCHIP).pdf
  72. 72. 
    Sequist TD. 2005. Paving the way—providing opportunities for Native American students. N. Engl. J. Med. 353:1884–86
     [Google Scholar]
  73. 73. 
    Sequist TD. 2007. Health careers for Native American students: challenges and opportunities for enrichment program design. J. Interprof. Care 21:Suppl. 220–30
     [Google Scholar]
  74. 74. 
    Sequist TD, Cullen T, Ayanian JZ. 2005. Information technology as a tool to improve the quality of American Indian health care. Am. J. Public Health 95:2173–79
     [Google Scholar]
  75. 75. 
    Sequist TD, Cullen T, Bernard K, Shaykevich S, Orav EJ, Ayanian JZ. 2011. Trends in quality of care and barriers to improvement in the Indian Health Service. J. Gen. Intern. Med. 26:480–86
     [Google Scholar]
  76. 76. 
    Sequist TD, Cullen T, Hays H, Taualii MM, Simon SR, Bates DW. 2007. Implementation and use of an electronic health record within the Indian Health Service. J. Am. Med. Inform. Assoc. 14:191–97
     [Google Scholar]
  77. 77. 
    Shelton BL. 2004. Legal and historical roots of health care for American Indians and Alaska Natives in the United States Issue Brief, Henry J. Kaiser Family Found., Menlo Park, CA: https://www.kff.org/wp-content/uploads/2013/01/legal-and-historical-roots-of-health-care-for-american-indians-and-alaska-natives-in-the-united-states.pdf
  78. 78. 
    Shiels MS, Chernyavskiy P, Anderson WF, Best AF, Haozous EA et al. 2017. Trends in premature mortality in the USA by sex, race, and ethnicity from 1999 to 2014: an analysis of death certificate data. Lancet 389:1043–54
     [Google Scholar]
  79. 79. 
    Simonds VW, Colditz GA, Rudd RE, Sequist TD 2011. Cancer screening among Native Americans in California. Ethn Dis 21:202–9
     [Google Scholar]
  80. 80. 
    Skinner D. 2016. The politics of Native American Health Care and the Affordable Care Act. J. Health Polit. Policy Law 41:41–71
     [Google Scholar]
  81. 81. 
    Stehr-Green P, Bettles J, Robertson LD 2002. Effect of racial/ethnic misclassification of American Indians and Alaskan Natives on Washington State death certificates, 1989–1997. Am. J. Public Health 92:443–44
     [Google Scholar]
  82. 82. 
    Sugarman JR, Lawson L. 1993. The effect of racial misclassification on estimates of end-stage renal disease among American Indians and Alaska Natives in the Pacific Northwest, 1988 through 1990. Am. J. Kidney Dis. 21:383–86
     [Google Scholar]
  83. 83. 
    Sugarman JR, Soderberg R, Gordon JE, Rivara FP. 1993. Racial misclassification of American Indians: its effect on injury rates in Oregon, 1989 through 1990. Am. J. Public Health 83:681–84
     [Google Scholar]
  84. 84. 
    Thierry J, Brenneman G, Rhoades E, Chilton L 2009. History, law, and policy as a foundation for health care delivery for American Indian and Alaska Native children. Pediatr. Clin. North Am. 56:1539–59
     [Google Scholar]
  85. 85. 
    Thornton R. 1984. Cherokee population losses during the Trail of Tears: a new perspective and a new estimate. Ethnohistory 31:4289–300
     [Google Scholar]
  86. 86. 
    Trevisi L, Orav JE, Atwood S, Brown C, Curley C et al. 2019. Integrating community health representatives with health care systems: clinical outcomes among individuals with diabetes in Navajo Nation. Int. J. Equity Health 18:183
     [Google Scholar]
  87. 87. 
    Trimble JE, Clearing-Sky M. 2009. An historical profile of American Indians and Alaska Natives in psychology. Cult. Divers. Ethn. Minor. Psychol. 15:338–51
     [Google Scholar]
  88. 88. 
    Tucker RP, Wingate LR, O'Keefe VM. 2016. Historical loss thinking and symptoms of depression are influenced by ethnic experience in American Indian college students. Cult. Divers. Ethn. Minor. Psychol. 22:350–58
     [Google Scholar]
  89. 89. 
    Tucker RP, Wingate LR, O'Keefe VM, Hollingsworth DW, Cole AB. 2016. An examination of historical loss thinking frequency and rumination on suicide ideation in American Indian young adults. Suicide Life Threat Behav 46:213–22
     [Google Scholar]
  90. 90. 
    US Dep. Health Hum. Serv., Indian Health Serv 2015. Trends in Indian health 2014 edition. Rep., US Dep. Health Hum. Serv., Indian Health Serv. Rockville, MD: https://www.ihs.gov/sites/dps/themes/responsive2017/display_objects/documents/Trends2014Book508.pdf
  91. 91. 
    US Dep. Health Hum. Serv., Indian Health Serv 2016. Tribal self-governance Fact Sheet, US Dep. Health Hum. Serv., Indian Health Serv. Rockville, MD: https://www.ihs.gov/newsroom/factsheets/tribalselfgovernance/
  92. 92. 
    US Dep. Health Hum. Serv., Indian Health Serv 2019. Indian health disparities Fact Sheet, US Dep. Health Hum. Serv., Indian Health Serv. Rockville, MD: https://www.ihs.gov/newsroom/factsheets/disparities/
  93. 93. 
    US Dep. Health Hum. Serv., Indian Health Serv 2021. Indian Sanitation Facilities Act of July 31, 1959 (Public Law 86–121). Legislation https://www.ihs.gov/aboutihs/legislation/
    [Google Scholar]
  94. 94. 
    US Dep. Health Hum. Serv., Indian Health Serv 2021. Legislation. Indian Health Service https://www.ihs.gov/aboutihs/legislation/
    [Google Scholar]
  95. 95. 
    US GAO (Gov. Account. Off.) 2018. Indian Health Service: agency faces ongoing challenges filling provider vacancies. Rep., US GAO Washington, DC: https://www.gao.gov/assets/gao-18-580.pdf
  96. 96. 
    US Natl. Libr. Med 1998. The Meriam Commission and health care reform (1926–1945). History of Medicine https://www.nlm.nih.gov/exhibition/if_you_knew/ifyouknew_07.html
    [Google Scholar]
  97. 97. 
    Vogt HB, Jerde OM. 1994. Pine Ridge Indian Health Service primary care resident rotation: an update.. S. D. J. Med. 47:125–27
     [Google Scholar]
  98. 98. 
    Warne D. 2009. The state of Indigenous America series: ten Indian health policy challenges for the new administration in 2009. Wicazo Sa Rev 24:7–23
     [Google Scholar]
  99. 99. 
    Warne D, Frizzell LB. 2014. American Indian health policy: historical trends and contemporary issues. Am. J. Public Health 104:Suppl. 3S263–67
     [Google Scholar]
  100. 100. 
    Westmoreland TM, Watson KR. 2006. Redeeming hollow promises: the case for mandatory spending on health care for American Indians and Alaska Natives. Am. J. Public Health 96:600–5
     [Google Scholar]
  101. 101. 
    Wharfield CHB. 1963. A fight with the Yaquis at Bear Valley, 1918. Arizoniana 4:1–8
     [Google Scholar]
  102. 102. 
    White MC, Espey DK, Swan J, Wiggins CL, Eheman C, Kaur JS. 2014. Disparities in cancer mortality and incidence among American Indians and Alaska Natives in the United States. Am. J. Public Health 104:Suppl. 3S377–87
     [Google Scholar]
  103. 103. 
    White House 2021. Fact Sheet: Biden Administration invests $4 billion in American Rescue Plan funding to Combat COVID-19 in Indian country Press Release April 16. https://www.whitehouse.gov/briefing-room/statements-releases/2021/04/16/fact-sheet-biden-administration-invests-4-billion-in-american-rescue-plan-funding-to-combat-covid-19-in-indian-country/
  104. 104. 
    Wilson C, Gilliland S, Cullen T, Moore K, Roubideaux Y et al. 2005. Diabetes outcomes in the Indian health system during the era of the Special Diabetes Program for Indians and the Government Performance and Results Act. Am. J. Public Health 95:1518–22
     [Google Scholar]
  105. 105. 
    Wilson C, Susan L, Lynch A, Saria R, Peterson D. 2001. Patients with diagnosed diabetes mellitus can be accurately identified in an Indian Health Service patient registration database. Public Health Rep 116:45–50
     [Google Scholar]
  106. 106. 
    Zuckerman S, Haley J, Roubideaux Y, Lillie-Blanton M. 2004. Health service access, use, and insurance coverage among American Indians/Alaska Natives and whites: What role does the Indian Health Service play?. Am. J. Public Health 94:53–59
     [Google Scholar]
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The Indian Health Service and American Indian/Alaska Native Health Outcomes
Annual Review of Public Health 43, 559 (2022); https://doi.org/10.1146/annurev-publhealth-052620-103633
/content/journals/10.1146/annurev-publhealth-052620-103633
/content/journals/10.1146/annurev-publhealth-052620-103633
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