This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (22) Citing Articles via Google Scholar Google Scholar Articles by Cunningham, P. J. Search for Related Content PubMed PubMed Citation Articles by Cunningham, P. J. Related Collections Access To Care Minority Health

Health Affairs, Vol 12, Issue 3, 224-233
Copyright © 1993 by Project HOPE

DataWatch

Access to care in the Indian Health Service

The Indian Health Service (IHS) is unique among U.S. private and public health programs in that free comprehensive health services are provided to eligible American Indians and Alaska Natives regardless of their ability to pay. However, resource limitations may compel some eligible persons to go outside of the IHS system to receive health care. Although IHS eligibles have comparatively low rates of private or public health care coverage, and much of this population lives in underserved areas, over half of IHS-eligible persons had some type of out-of-plan use in 1987. Furthermore, services received through private providers appear to supplement those received through IHS-sponsored providers. Overall, persons who use both IHS and non-IHS providers have higher levels of health care use than do those who rely exclusively on the IHS.

                      What's this?

This article has been cited by other articles:

				L. J. Demma, R. C. Holman, J. Sobel, K. L. Yorita, T. W. Hennessy, E. L. Paisano, and J. E. Cheek Epidemiology of Hospitalizations Associated with Ulcers, Gastric Cancers, and Helicobacter pylori Infection among American Indian and Alaska Native Persons Am J Trop Med Hyg, May 1, 2008; 78(5): 811 - 818. [Abstract] [Full Text] [PDF]

				K. L. Yorita, R. C. Holman, J. J. Sejvar, C. A. Steiner, and L. B. Schonberger Infectious Disease Hospitalizations Among Infants in the United States Pediatrics, February 1, 2008; 121(2): 244 - 252. [Abstract] [Full Text] [PDF]

				R. J. Singleton, R. C. Holman, N. Cobb, A. T. Curns, and E. L. Paisano Asthma Hospitalizations Among American Indian and Alaska Native People and for the General US Population. Chest, November 1, 2006; 130(5): 1554 - 1562. [Abstract] [Full Text] [PDF]

				L. J. DEMMA, R. C. HOLMAN, C. A. MIKOSZ, A. T. CURNS, D. L. SWERDLOW, E. L. PAISANO, and J. E. CHEEK ROCKY MOUNTAIN SPOTTED FEVER HOSPITALIZATIONS AMONG AMERICAN INDIANS. Am J Trop Med Hyg, September 1, 2006; 75(3): 537 - 541. [Abstract] [Full Text] [PDF]

				B. J. Kramer, M. Wang, T. Hoang, J. O. Harker, B. Finke, and D. Saliba Identification of American Indian and Alaska Native Veterans in Administrative Data of the Veterans Health Administration and the Indian Health Service Am J Public Health, September 1, 2006; 96(9): 1577 - 1578. [Abstract] [Full Text] [PDF]

				R. C. Holman, A. T. Curns, J. E. Cheek, J. S. Bresee, R. J. Singleton, K. Carver, and L. J. Anderson Respiratory Syncytial Virus Hospitalizations Among American Indian and Alaska Native Infants and the General United States Infant Population Pediatrics, October 1, 2004; 114(4): e437 - e444. [Abstract] [Full Text] [PDF]

				S. Zuckerman, J. Haley, Y. Roubideaux, and M. Lillie-Blanton Health Service Access, Use, and Insurance Coverage Among American Indians/Alaska Natives and Whites: What Role Does the Indian Health Service Play? Am J Public Health, January 1, 2004; 94(1): 53 - 59. [Abstract] [Full Text]

				R. C. Holman, A. T. Curns, J. E. Cheek, R. J. Singleton, L. J. Anderson, and R. W. Pinner Infectious Disease Hospitalizations Among American Indian and Alaska Native Infants Pediatrics, February 1, 2003; 111(2): e176 - 182. [Abstract] [Full Text] [PDF]

				R. C. Holman, U. D. Parashar, M. J. Clarke, S. F. Kaufman, and R. I. Glass Trends in Diarrhea-associated Hospitalizations Among American Indian and Alaska Native Children, 1980-1995 Pediatrics, January 1, 1999; 103(1): e11 - 11. [Abstract] [Full Text] [PDF]