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AJPH First Look, published online ahead of print Oct 27, 2005
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American Journal of Public Health, 10.2105/AJPH.2004.052985

Analytic Essay Forum

Information Technology as a Tool to Improve the Quality of American Indian Health Care

Thomas D. Sequist 1*, Theresa Cullen 2, John Z. Ayanian 1

1 Brigham and Women's Hospital
2 Indian Health Service

* To whom correspondence should be addressed. E-mail: tsequist{at}partners.org.


  Abstract

The American Indian/ Alaska Native population experiences a disproportionate burden of disease across a spectrum of conditions. While the recent National Healthcare Disparities Report highlighted differences in quality of care among racial and ethnic groups, there was only very limited information available for American Indians. The Indian Health Service (IHS) is currently enhancing its information systems to improve the measurement of health care quality as well as to support quality improvement initiatives.

We summarize current knowledge regarding health care quality for American Indians, highlighting the variation in reported measures in the existing literature. We then discuss how the IHS is using information systems to produce standardized performance measures and present future directions for improving American Indian health care quality.

Key Words: Health Policy, Access to Care, Quality of Care, Health Service Delivery, Native Americans, Race/Ethnicity




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