Abstract
With few exceptions (Thornton, Sandefur, & Grasmick, 1982), Indian* life in the Americas has always been rural, a mode that continued with settlement on reservations in the 19th century (Figure 1). Many Native Americans today continue subsistence living—that is, hunting and gathering, and farming—and as will be noted later, many Indian communities are actually frontier in nature. Even with considerable migration to urban areas, especially during and after the Second World War, reservations remained the site of tribal governments. Combined with the strong impulse of Indian people to remain in their local communities, this has resulted basically in a rural setting for Indians, who receive most of their health care from the federal government. The challenges in integrating health programs among small numbers of individuals residing in remote locations are great indeed.
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References
Alaska Area Native Health Service. (1992). Health care challenges on the last frontier. Anchorage: Alaska Area Native Health Service.
Alaska Native Health Board. (1991). Access to care: Crisis for Alaska Natives. Report of task force on patient travel. Anchorage: Alaska Native Health Board.
Alaska Native Tribal Health Consortium. (1999). The Alaska Native health care system: A map study of information technology and Native health care in Alaska. Anchorage: Alaska Native Tribal Health Consortium.
Beck, R. D., Saddler, C., Ranch, R. 1998. Preliminary experience with an orthopedic teleradiology service at the Alaska Native medical center. International Journal of Circumpolar Health, 57, 689–690.
Brenneman, G. (1999). Revision of the IHS Manual, chapter 13: Maternal and Child Care. Rockville, MD: Indian Health Service.
Department of Health and Human Services. (2000). Department of Health and Human Services-Fiscal Year 2001 Indian Health Service. Justification for estimates for appropriations committees. Rockville, MD: Indian Health Service.
Gerard, W. A., Stauffer, A. (1999). Rural health care delivery. Annals of Emergency Medicine, 33, 725–726.
Greene, P. G., Smith, D. E., Hullett, S., Kratt, P. P., Kennard, P. (1999). Cancer prevention in rural primary care. An academic-practice partnership. American Journal of Preventive Medicine, 16, 58–62.
Haffner, W. H. J. (1989). IHS low risk maternity units and the JCAHO’s anesthesia standard. IHS Primary Care Provider, 14, 42–43.
Iglesias, S., Grzybowski, S., Klein, M. C., Gagne, G. P., Lalonde, A. (1998). Rural obstetrics: Joint position paper on rural maternity care. Canadian Family Physician, 44, 831–843.
Indian Health Service. (1985). The American Indian and Alaska Native: Their environmental health and the environmental health program-A historical perspective, 1955–1985. Rockville, MD: Environmental Health Program, Indian Health Service.
Indian Health Service (1990). Tribal Governments as Rural Health Providers. A roundtable conference on tribal governments as rural health providers-Final report. Rockville, MD: Office of Planning Evaluation and Legislation, Indian Health Service.
Indian Health Service. (1993). Indian Health Service: An Assessment of Emergency Medical Services.
Report of the Technical Assistance Team, National Highway Transportation Administration. Rockville, MD: Emergency Medical Services Program. Indian Health Service.
Indian Health Service. (1997a). Trends in Indian Health. Rockville, MD: Indian Health Service.
Indian Health Service. (1997b). Regional differences in Indian health. Rockville, MD: Indian Health Service.
Knapp, K. K., Paavola, F. G., Maine, L. L., Sorofman, B., Politzer, R. M. (1999). Availability of primary care providers and pharmacists in the United States.ournal of the American Pharmaceutical Association, 39, 127–135.
Kunitz, S. J. (1996). The history and politics of U.S. health care policy for American Indians and Alaskan Natives. American Journal of Public Health, 86, 1464–1473.
Landercasper, J., Bintz, M., Coghill, T. H., Bierman, S. L., Buan, R. R., Callaghan, J. P., Lottmann, K. J., Martin, W. B., Andrew, M. H., Lambert, P. J. (1997). Spectrum of general surgery in rural America. Archives of Surgery, 132, 494–496.
Moscovice, I., Wellever, A., Christianson, J., Casey, M., Yawn, B., Hartley, D. (1997). Understanding integrated rural health networks. Milbank Quarterly, 75, 563–588.
Mueller, K. J., Ortega, S. T., Parker, K., Patil, K., Askenazi, A. (1999). Health status and access to care among rural minorities. Journal of Health Care for the Poor and Underserved, 10, 230–249.
Mountain Plains Health Consortium. (1999). Ft. Meade, SD: Website at http://www.heds.org.
Nesbitt, T. S. (1996). Rural maternity care: New models of access. Birth, 23, 161–165.
Office of Technology Assessment. (1986). Indian Health Care. (OTA-H-290). Washington, DC: U.S. Government Printing Office.
Office of Technology Assessment. (1994). An Alaskan challenge: Native village sanitation. (OTA-ENV-591). Washington, DC: U.S. Government Printing Office.
Rhoades, E. R., Brenneman, G., Santosham, M. (1993). Health on the reservation, 1994 medical and health annual (pp. 96–119 ). Chicago: Encyclopedia Britannica.
Rhoades, E. R., D’Angelo, A. J., Hurlburt, W. B. (1987a). The Indian Health Service record of achievement. Public Health Reports, 102, 356–360.
Rhoades, E. R., Hammond, J., Welty, T. K., Handler, A. O., Amler, R. W. (1987b). The Indian burden of illness and future health interventions. Public Health Reports, 102, 361–368.
Rhoades, E. R., Reyes, L., Buzzard, G. D. (1987c). The organization of health services for Indian people. Public Health Reports, 102, 352–356.
Rousseau, C. J., Jensen, G., Decker, P. (1993). National EMS program staff’s perspective on emer- gency medical services in the Indian Health Service. Unpublished document. Rockville, MD: Indian Health Service.
Thornton, R., Sandefur, G. D., Grasmick, H. G. (1982). The urbanization of American Indians—A critical bibliography. Bloomington: Indiana University Press.
Zinberg, S. (1996). ACOG’s continuing commitment. Committee on American Indian Affairs 25th anniversary. ACOG Clinical Review, 1, 1–14.
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Rhoades, E.R. (2001). American Indian and Alaska Native Health Services as a System of Rural Care. In: Loue, S., Quill, B.E. (eds) Handbook of Rural Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3310-5_7
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DOI: https://doi.org/10.1007/978-1-4757-3310-5_7
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