Indian Health Service Innovations Have Helped Reduce Health Disparities Affecting American Indian And Alaska Native People
Indian Health Service Innovations Have Helped Reduce Health Disparities Affecting American Indian And Alaska Native People
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DOI：
10.1377/hlthaff.2011.0630
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发表时间：
2011-10-01
期刊：
影响因子：
9.7
通讯作者：
Acton, Kelly J.
中科院分区：
文献类型：
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作者：
Sequist, Thomas D.;Cullen, Theresa;Acton, Kelly J.
印第安人医疗保健服务 (IHS) 是一个联邦卫生系统，为该国 520 万美洲印第安人和阿拉斯加原住民中的 200 万提供医疗服务。该系统越来越注重卫生信息技术和远程医疗的创新使用，以及全面的、针对当地情况的预防和疾病管理计划，以促进面临多重健康差距的人群的健康公平。最近取得的重要成就包括美洲印第安人和阿拉斯加原住民与白人之间的预期寿命差距缩小（从八岁缩短到五年）以及改善糖尿病控制措施（包括低密度脂蛋白胆固醇和糖化血红蛋白水平分别降低 20% 和 10%）。然而，美洲印第安人和阿拉斯加原住民与美国总人口之间仍然存在差距。需要持续创新和增加资金来进一步改善健康和实现公平。
The Indian Health Service (IHS), a federal health system, cares for 2 million of the country's 5.2 million American Indian and Alaska Native people. This system has increasingly focused on innovative uses of health information technology and telemedicine, as well as comprehensive, locally tailored prevention and disease management programs, to promote health equity in a population facing multiple health disparities. Important recent achievements include a reduction in the life-expectancy gap between American Indian and Alaska Native people and whites (from eight years to five years) and improved measures of diabetes control (including 20 percent and 10 percent reductions in the levels of low-density lipoprotein cholesterol and hemoglobin A1c, respectively). However, disparities persist between American Indian and Alaska Native people and the overall US population. Continued innovation and increased funding are required to further improve health and achieve equity.