HEALTH CARE NEEDS OF NATIVE AMERICANS.   Term Paper ID:28410 Click to get this paper Essay Subject: Cites prevelant conditions--diabetes, cancer, suicide. Recommends & discusses specific reforms including access, quality & funding of health care.... More... 7 Pages / 1575 Words 9 sources, 12 Citations, OTHER Format $28.00 Return to List of Papers Paper Abstract: Cites prevelant conditions--diabetes, cancer, suicide. Recommends & discusses specific reforms including access, quality & funding of health care. Paper Introduction: THE HEALTH CARE NEEDS OF NATIVE AMERICANS Nature of the Group An excellent description of the current health care status of Native Americans has been provided by Ray Began who, in 1998, was the President of the Association of American Indian Physicians. In this regard, it is noted by Began that in general this is a community where there are profound health care needs that are not being adequately addressed by the current health care system. As Began reports: Native Americans receive the lowest health care dollars allocated by the Department of Health and Human Services (HHS) Indian Health Service. The per capita amount spent on health care for Native Americans is only $1,132 compared to the $3,261 spent Text of the Paper: The entire text of the paper is shown below. However, the text is somewhat scrambled. We want to give you as much information as we possibly can about our papers and essays, but we cannot give them away for free. In the text below you will find that while disordered, many of the phrases are essentially intact. From this text you will be able to get a solid sense of the writing style, the concepts addressed, and the sources used in the research paper. who in was the President ofthe Association the currenthealth care system As care for Native Americans is only compared to the world's highest rate of Diabetes with lower limbamputation as a be the second leading causeof death among itsserious effects e g more frequent need for far greater problem among Native Americans than among many poor A good deal ofthis is the existing health care system population the following reforms are suggested In the area on mental health services models conducted by Barlow and in the community itis recommended that the decreased wheneducational efforts focus on increasing awareness of cancer and most importantly prove thatcancer is not always fatal will receivetimely services It is recommended Native American Tributes areinvolved in the actual provision of services can be markedlydecreased Also Strickland notes that these One point that must be made regarding reforming useof educational programs This is because Baris and Pineault havenoted that focus on prevention through increasingly developprograms that are sensitive to societal needs in students far greater awareness of theirobligations recommended that new funding approaches be used organizations with extensive training on resource andpersonnel management and retention of professional staff due to remove locations as tribes move towards greaterindependence reductions feels that another way in which such as new Diabetesprograms and projects on Demand Supply and Cost The developed plan mental health workers qualitywill be increase access because the culturalconflicts and misunderstandings that implementing appropriate theoreticalmodels this will also operate to improve supply also improve the quality of care given Also by creating health care personnel desiring to work with will more for actual service provision which could in turn health care is fortheir allocation structure to to be allocatedin very fiscal year budget if programs the population suffersdisproportionately from certain an inter-relatednetwork of certain basic reforms in increasing the directprovision of health care services by Indian tribes project was based on a articles and publications No empirical healthcare provided to this population However given the lack J T Developing mental health servicesfor Native American Unmet health care needs of treatment Cancer Suppl Novins D K Fleming under-serviced communities one university's externship Strickland C J The importance of qualitative research inaddressing cultural description of the current health care status of NativeAmericans has is a community where there are Department of Health and Human Services HHS Indian Health reported by Began thatDiabetes Mellitus is widespread with Diabetes than in otherethnic groups with Diabetes Service Further Novins Fleming Beals and Manson withfetal alcohol syndrome lost productivity and employment loss ofproductivity cancer is high in the Native American Population One solution to the health care problems of Native Americans Based onresearch conducted to examine the increased consultation and supervision to native outreachand other mental effective use of scarce resources thisis recommended because Kaur observed that the high incidence ofcancer native communities be used as recognize the symptoms inanother thereby increasing Indiantribes this recommendation is formulated based theeyes of service providers and a Further such agencies are said to give a tribe is that this reform really needs abasically medical model Thus medical treatment efforts risk factorssuch as geographic and socio-organizational accessibility economicproblems and high kind of reform although it may take Further it will increased students' degree out that one move that would fully andmore cost effectively to such S Department of Health and Human Services each of these agencies according to Robbins could is fortheir allocation structure to be changed In this regard to beallocated in very fiscal year budget if programs well First by providing increased an increase in the tribal agencies and organizations addition since such agencieshave been found to be better in how bestto meet the needs of under-served populations and not just apart of it it is likely Finally the recommendations for changing elements of funds could be bettermanaged and so more Diabetesprograms and projects are allocated for the basic start-up programs literature on the health care suggesting solutions a system of health care for the number of educational programs focusing onprevention to the needs of under-served communities Native Americans Itconsists primarily of a research clearly indicates that the reformssuggested in the plan are understood that its effectiveness needs appraisal of the Navajohealth care system Cancer Suppl Kaur J S The forAmerican Indian children and adolescents American Journal of S health system In General Documentavailable THE HEALTH CARE NEEDS OF NATIVE AMERICANS of American Indian Physicians In this Began reports Native Americans receive spent per capita on non-native Americans p Regarding secondary result of the disease Native American adolescents this while there are health care services andincreased costs otherethnic groups In addition Burhansstipanov attributed to the need for improved screening practices reforms that specifically address and meet at least in of mental health it is Walkup indicated that this reform system develop educational programs that focus onbehaviors e risks andsymptoms fatalism and lack of access to screening Further there are indications that educationgiven that there by an increase in problems such as resistanceto following agencies have also beenfound to be better in defining tribal the health caresystem by increasing that such agencies can often decreasing stress a well established and especially to those needsof under-served to serve the medical needs of all to pay forthe cost of these reforms This can Robbins reports that in terms of management needs Native American ongoing difficulties being able to depend and restructurings of Medicaid Medicare welfare and any funds could be bettermanaged and are allocated for the basic start-up programs should operate to improve access increased Second educational programs of the type recommendedwith reduce can cause people to delay or or quality of care Fourth an in at least some students a greater awareness of under-servedpopulations thereby increasing service to canbe used to improve both quality and access Began feels be changed In this regard he notes are to truly be effective Evaluation and SummarySummary conditions and that there were problemswith access and quality and the existing system Recommendedreforms included increasing consultation changing the structureand management of funds and advocating that medical comprehensivesearch of the literature on evaluation of the plan wasconducted and thus there is of evaluativeresearch on the plan it should be considered children Child and Adolescent Psychiatric Clinics nativeamericans Document available www aaip com Burhansstipanov L C M Beals J Manson S experiment Probe Robbins A Challenges To native american health relevance experiences from research with PacificNorthwest Indian been provided by Ray Began profoundhealth care needs that are not being adequately addressed by Service The per capita amount spent on health in the Native American population wit thePima Indians having the Also suicide is said by Began to report that alcohol with all of profits and competitiveness of Native American business etc is a treatment procedures and consequent survival rates are is tomake targeted and specific reforms in health care problems of the health workers this because a review of the generalresearch In the area of prevention of diseases common among Native Americans can be substantially resourcesto educate others raise cancer awareness the chances that the other person on Novins Felming Bealsand Manson's observances that when host of other caregiver-caretakerinteractions that interfere with effective treatment a stronger feeling of self-determination to work hand-in-hand with the must be supportedby educational programs unemployment It is recommended that medical schools years before its effectsare realized will create of preparedness inworking with the under-served It is lower costs would be to providetribal agencies and problems as procuring funding difficulty inrecruitment handling the changingrelationships with the Indian Health Service wellprovide increased funds for actual service provision Began he notes thatseveral programs designed for Native Americans are to truly be effective Effects of the Plan consultationand supervision to native outreach and other thatprovide services will operate to defining tribal health care needs conceptualizing tribal problems and such as Native Americanswill in the long run should that this reform will also produce a greaternumber of fundingstructure and management should if they are successful provide NativeAmericans monies made available for effective theydo not cover on-going concerns Began states that funds need needs ofNative Americans it was noted that thepopulation was formulated this system consisting of that are provided to Native Americans Evaluation The plan developed in this document search and subsequent analysis of therelevant at least likely to work to improve the to be determined by futureresearch References Barlow A Walkup International Journal of Health Planning Management Began R May potential impact of cancer survivors on NativeAmerican cancer prevention and MedicalQuality Odlum O Meeting the needs of www arobbins nlm nih gov Nature of the Group An excellent regard it is notedby Began that in general this the lowest health care dollars allocated by the specific health care needs it is Also End Stage RenalDisease is much higher in Native Americans no morethan psychologists in the Indian Health increased visits to the emergency room children born reports that while cancer especially breast System of Health Care That Addresses Needs part thoseparticular health care needs of the Native American population recommended that the systembegin to provide is a more acceptable and potentiallymore g nutrition that can operate to prevent the disease services Kaur alsosuggests that cancer survivors in to one family member can help him or her to agencies andorganizations involved in the direct provision of services by treatment feelings of being a second class citizen in health care needs conceptualizingtribal problems and implementing appropriate theoretical models direct provision of health care services by Indiantribes do only so much as they tend to use contributor to illness as it relates to communities such as Native Americans According to Odlum this of society and not just apart of it be done in several ways First Robbins points health systems could be helped to respond more upon contracts between tribes andthe U existing tensions between Native and non-Native staff Bettermanagement in so more monies made available for effective health care theydo not cover on-going concerns Began states that funds need the quality ofthe services and costs as costs because of their preventative role Third refusetreatment will be drastically reduced In increase in medical school programs focusing on theirobligations to serve the medical needs of all of society greater numbers of people in thepopulation that another way in which thatseveral programs designed for Native Americans such as new Based on a search of the funding Based on the research noting thisproblems and and supervision of mental healthpersonnel increasing schools develop moreprograms that are sensitive the health care needs of no factual demonstration of its efficacy Nonetheless the existing to be preliminary in natureand ofNorth America Baris E Pineault R A critical Urban native American health issues M Commentary quality of alcohol drug and mental health services care evenmore profound than those facing the U women Health Care who in was the President ofthe Association the currenthealth care system As care for Native Americans is only compared to the world's highest rate of Diabetes with lower limbamputation as a be the second leading causeof death among itsserious effects e g more frequent need for far greater problem among Native Americans than among many poor A good deal ofthis is the existing health care system population the following reforms are suggested In the area on mental health services models conducted by Barlow and in the community itis recommended that the decreased wheneducational efforts focus on increasing awareness of cancer and most importantly prove thatcancer is not always fatal will receivetimely services It is recommended Native American Tributes areinvolved in the actual provision of services can be markedlydecreased Also Strickland notes that these One point that must be made regarding reforming useof educational programs This is because Baris and Pineault havenoted that focus on prevention through increasingly developprograms that are sensitive to societal needs in students far greater awareness of theirobligations recommended that new funding approaches be used organizations with extensive training on resource andpersonnel management and retention of professional staff due to remove locations as tribes move towards greaterindependence reductions feels that another way in which such as new Diabetesprograms and projects on Demand Supply and Cost The developed plan mental health workers qualitywill be increase access because the culturalconflicts and misunderstandings that implementing appropriate theoreticalmodels this will also operate to improve supply also improve the quality of care given Also by creating health care personnel desiring to work with will more for actual service provision which could in turn health care is fortheir allocation structure to to be allocatedin very fiscal year budget if programs the population suffersdisproportionately from certain an inter-relatednetwork of certain basic reforms in increasing the directprovision of health care services by Indian tribes project was based on a articles and publications No empirical healthcare provided to this population However given the lack J T Developing mental health servicesfor Native American Unmet health care needs of treatment Cancer Suppl Novins D K Fleming under-serviced communities one university's externship Strickland C J The importance of qualitative research inaddressing cultural description of the current health care status of NativeAmericans has is a community where there are Department of Health and Human Services HHS Indian Health reported by Began thatDiabetes Mellitus is widespread with Diabetes than in otherethnic groups with Diabetes Service Further Novins Fleming Beals and Manson withfetal alcohol syndrome lost productivity and employment loss ofproductivity cancer is high in the Native American Population One solution to the health care problems of Native Americans Based onresearch conducted to examine the increased consultation and supervision to native outreachand other mental effective use of scarce resources thisis recommended because Kaur observed that the high incidence ofcancer native communities be used as recognize the symptoms inanother thereby increasing Indiantribes this recommendation is formulated based theeyes of service providers and a Further such agencies are said to give a tribe is that this reform really needs abasically medical model Thus medical treatment efforts risk factorssuch as geographic and socio-organizational accessibility economicproblems and high kind of reform although it may take Further it will increased students' degree out that one move that would fully andmore cost effectively to such S Department of Health and Human Services each of these agencies according to Robbins could is fortheir allocation structure to be changed In this regard to beallocated in very fiscal year budget if programs well First by providing increased an increase in the tribal agencies and organizations addition since such agencieshave been found to be better in how bestto meet the needs of under-served populations and not just apart of it it is likely Finally the recommendations for changing elements of funds could be bettermanaged and so more Diabetesprograms and projects are allocated for the basic start-up programs literature on the health care suggesting solutions a system of health care for the number of educational programs focusing onprevention to the needs of under-served communities Native Americans Itconsists primarily of a research clearly indicates that the reformssuggested in the plan are understood that its effectiveness needs appraisal of the 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