Challenges And Health Diversity In The American Indians And Alaskan Natives?
Many of the providers are hired through loan repayment programs and after their contracts and loans are paid off they leave for positions that are in better areas and have higher pay. Staff turnover causes a challenge to providing quality, culturally competent care to patients within the Indian health system. Similarly, studies have shown deficiencies in preventative care through the Indiana Health Service, this leads to greater long-term health demands for the patients of these clinics (Zuckerman, Haley, 14 Roubideaux, & Lillie-Blanton, 2004). According to Zuckerman, Haley, Roubideaux, and Lillie-Blanton in 2004 Native Americans and Alaskan natives receiving Indian Health Service care reported poor communication with their providers and felt that they faced issues such as access to care and a dissatisfaction in the quality of the care they receive through the current system in …show more content…
Together these nurses have experience working in various populations that include military veterans, vulnerable populations, public health, and private sectors. Prior to choosing the target population and the mechanism of change, extensive research was performed on access to care barriers and those most affected by it. American Indians and Native Alaskans were identified as an underserved group to whom this proposal is targeting for improvement.
Although American Indians and Native Alaskans are the key stakeholders, the Indian health service and health care professionals will also serve vital roles in implementing this change. FNP 's are expected to fill a growing need for mid-level practitioners in locations that are less attractive to physicians. Tele-health is necessary in order to ensure that rural care provided by NP 's isn 't restricted by limitations in access to resourceful physicians and clinical specialist. A peer reviewed article by Low, Rhoads, Holland, & Harmon (2010) indicated that tele-health serves as a critical platform to bridge the communication gap between rural working NP 's and inner city clinical specialist. The Indian health service is also likely to experience more employment stability by eliminating temporary student loan incentives in lieu of attractive salaries that are competitive