Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Plagues, Politics, and Policy

Plagues, Politics, and Policy

Author: David H. DeJong

Publisher:

Published: 2011

Total Pages: 260

ISBN-13:

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Plagues, Politics, and Policy is an overview of the major health challenges confronting American Indians and Alaska Natives over the past fifty years and is a case study of the federal government's attempt to provide medical services to a categorical group of people in the United States. While it is not a detailed analysis of what socialized healthcare should or should not look like, it does examine the major social and political issues affecting the delivery of health services to American Indians and Alaska Natives. This book addresses broad policy questions, such as whether or not American Indians and Alaska Natives have received better healthcare since the Indian medical service transferred from the Bureau of Indian Affairs to the Public Health Service in 1955. In the initial decades of Public Health Service control of IHS, the problems of infectious diseases were largely eliminated, but they have been replaced by new challenges which will require IHS and tribal leaders to work together to come up with solutions. Many American Indians and Alaska Natives also face public health challenges rooted in the social and political history of the federal Indian relationship. In this book, DeJong provides a path to improving the future of health care for American Indians and Alaska Natives.


Case Studies in Public Health

Case Studies in Public Health

Author: Theodore H. Tulchinsky

Publisher: Academic Press

Published: 2018-03-12

Total Pages: 605

ISBN-13: 0128045868

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Case Studies in Public Health contains selected case studies of some of the most important and influential moments in medicine and epidemiology. The cases chosen for this collection represent a wide array of public health issues that go into the makeup of what can be termed the New Public Health (NPH), which includes traditional public health, such as sanitation, hygiene and infectious disease control, but widens its perspective to include the organization, financing and quality of health care services in a much broader sense. Each case study is presented in a systematic fashion to facilitate learning, with the case, background, current relevance, economic issues, ethical issues, conclusions, recommendation and references discussed for each case. The book is a valuable resource for advanced students and researchers with specialized knowledge who need further information on the general background and history of public health and important scientific discoveries within the field. It is an ideal resource for students in public health, epidemiology, medicine, anthropology, and sociology, and for those interested in how to apply lessons from the past to present and future research. - Explores the history of public health through important scientific events and flashpoints - Presents case studies in a clear, direct style that is easy to follow - Uses a systematic approach to help learn lessons from the past and apply them to the present


Broken Promises: Evaluating the Native American Health Care System

Broken Promises: Evaluating the Native American Health Care System

Author: U. S. Commission on Civil Rights

Publisher: CreateSpace

Published: 2013-02-15

Total Pages: 156

ISBN-13: 9781482551396

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The report reveals that the Native American health care system created by the federal government has used only limited and incremental responses to the health care challenges faced by Native Americans.


"If You Knew the Conditions"

Author: David H. DeJong

Publisher: Lexington Books

Published: 2008

Total Pages: 206

ISBN-13: 9780739124451

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"After their sequestering on reservations across the West, American Indians suffered from appalling rates of disease and morbidity. While the United States Indian Service (Bureau of Indian Affairs) provided some services prior to 1908, it was not until then that the Indian Medical Service was established for the purpose of providing services to American Indians. Born in an era of assimilation and myths of vanishing Indians, the Indian Medical Service provided emergency and curative care with little forethought of preventive medicine. If You Knew the Conditions argues that the U.S. Congress provided little more than basic, curative treatment, and that this Congressional parsimony is reflected in the services (or lack thereof) provided by the Indian Medical Service." "David H. DeJong considers the mediocre results of the Indian Medical Service from a cultural perspective. He argues that, rather than considering a social conservation model of medicine, the Indian Service focused on curative medicine from a strictly Western perspective. This failure to appreciate the unique American Indian cultural norms and values associated with health and well-being led to a resistance from American Indians which seemingly justified parsimonious Congressional appropriations and initiated a cycle of benign neglect. If You Knew the Conditions examines the impact of the long-standing Congressional mandate of cultural assimilation, combined with the Congressional desire to abolish the Indian Service, on the degree and extent of disease in Indian Country."--BOOK JACKET.


Changing Numbers, Changing Needs

Changing Numbers, Changing Needs

Author: National Research Council

Publisher: National Academies Press

Published: 1996-10-11

Total Pages: 327

ISBN-13: 0309055482

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The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.


Lewis and Clark Through Indian Eyes

Lewis and Clark Through Indian Eyes

Author: Alvin M. Josephy, Jr.

Publisher: Vintage

Published: 2008-12-10

Total Pages: 220

ISBN-13: 0307487458

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At the heart of this landmark collection of essays rests a single question: What impact, good or bad, immediate or long-range, did Lewis and Clark’s journey have on the Indians whose homelands they traversed? The nine writers in this volume each provide their own unique answers; from Pulitzer prize-winner N. Scott Momaday, who offers a haunting essay evoking the voices of the past; to Debra Magpie Earling’s illumination of her ancestral family, their survival, and the magic they use to this day; to Mark N. Trahant’s attempt to trace his own blood back to Clark himself; and Roberta Conner’s comparisons of the explorer’s journals with the accounts of the expedition passed down to her. Incisive and compelling, these essays shed new light on our understanding of this landmark journey into the American West.


Tip 61 - Behavioral Health Services for American Indians and Alaska Natives

Tip 61 - Behavioral Health Services for American Indians and Alaska Natives

Author: U.S. Department of Health and Human Services

Publisher: Lulu.com

Published: 2019-03-17

Total Pages: 239

ISBN-13: 0359520383

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American Indians and Alaska Natives have consistently experienced disparities in access to healthcare services, funding, and resources; quality and quantity of services; treatment outcomes; and health education and prevention services. Availability, accessibility, and acceptability of behavioral health services are major barriers to recovery for American Indians and Alaska Natives. Common factors that infuence engagement and participation in services include availability of transportation and child care, treatment infrastructure, level of social support, perceived provider effectiveness, cultural responsiveness of services, treatment settings, geographic locations, and tribal affliations.