Rivers Patrick A, Fottler Myron D, Parker Myra
Health Care Management, College of Applied Sciences and Arts, Southern Illinois University, Carbondale, IL, USA.
Health Care Manage Rev. 2005 Oct-Dec;30(4):293-303. doi: 10.1097/00004010-200510000-00003.
The Indian Health Service (IHS), an agency within the U.S. Department of Health and Human Services, was responsible for providing federal health services to 1.51 million American Indian and Alaska Natives in 2000. Several opportunities related to health care exist for the IHS: potential public and private collaborations, continuation of the Clinton Administration's legacy of meaningful tribal consultation, and increasing the numbers of American Indian physicians, nurses, and other health related professionals. Modifications in federal programs such as Medicare and Medicaid pose a serious threat to the IHS because the IHS relies on these programs to offset the overall lack of funding. This article provides a framework for identifying the ways in which the external environment affects and determines the IHS' strategic responses to ensure competitiveness within the U.S. health care market. Value chain analysis will be used to evaluate the competitive advantages and disadvantages of the current IHS internal environment.
美国卫生与公众服务部下属的印第安卫生服务局（IHS）在2000年负责为151万美国印第安人和阿拉斯加原住民提供联邦医疗服务。IHS在医疗保健方面存在几个机遇：潜在的公私合作、延续克林顿政府时期有意义的部落协商传统，以及增加美国印第安医生、护士和其他医疗相关专业人员的数量。医疗保险和医疗补助等联邦项目的调整对IHS构成了严重威胁，因为IHS依赖这些项目来弥补整体资金不足的问题。本文提供了一个框架，用于确定外部环境影响和决定IHS战略应对措施的方式，以确保其在美国医疗保健市场中的竞争力。将使用价值链分析来评估IHS当前内部环境的竞争优势和劣势。
