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Session: Health Care Disparities that Impact Native Communities
4182.1: Tuesday, November 9, 2004: 2:30 PM-4:00 PM
Oral
Health Care Disparities that Impact Native Communities
Nationally, American Indians and Alaska Natives suffer disproportionately from diseases such as diabetes and cancer. In 2000, Dr. Michael Trujillo, Director of the Indian Health Service attributed healthcare disparities in American Indian and Alaska Native communities to a number of underlying causes, including social and cultural disruption of tribal societies, poor education, longstanding poverty, lack of political presence, limited access to healthcare services and a widening gap in health care spending. The presentations scheduled for this session describe disparities through the lens of: cancer palliative care, quality of care, long term care needs of American Indian and Alaska Natives in urban settings, racial misclassification, and reductions in disparities in tribally operated hospitals.
Learning Objectives: Identify at least three cultural concepts that contributed to acceptability of the Native American Palliative Care Curriculum. Understand the value of and need to assess the long-term care needs of urban American Indian and Alaska Natives for program planning and development. Describe and recognize the potential impact of racial misclassification of American Indians and Alaska Natives on public health planning and policy. Know that AIAN using tribal health clinics in California have experienced a reduction in their disparity of being hospitalized unnecessarily.
Moderator(s):Patrik Johansson, MD, MPH
2:30 PMEvaluation of the Native American Palliative Care Curriculum
Linda Burhansstipanov, MPH, DrPH, Lisa Harjo, MA, Terri L. Rattler, Rose Lee, Lisa Castro
2:50 PMAssessing the long-term care needs of urban American Indian and Alaska Native elders  [ Recorded presentation ]
Alice Park, MPH, Maile Taualii, MPH, Shelley Lawson, MPA, Ralph Forquera, MPH
3:10 PMA multistate analysis of racial misclassification of American Indian and Alaska Native deaths – 1994-1998
Ralph Groves, MD, David King Espey, MD, T Flood, MD, G Copeland, B Woods, K Baker, MPH
3:30 PMReduction in disparities of avoidable hospitalizations of AI/AN in tribally owned and operated health programs  [ Recorded presentation ]
Carol C. Korenbrot, PhD, Chi Kao, PhD, James Crouch, MPH
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:American Indian, Alaska Native and Native Hawaiian Caucus
Endorsed by:Alternative and Complementary Health Practices; Chiropractic Health Care; Community Health Planning and Policy Development; Health Administration; Public Health Education and Health Promotion; Socialist Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA