Goins R Turner, Bogart Andy, Roubideaux Yvette
West Virginia University, Center on Aging, Department of Community Medicine, USA.
J Health Care Poor Underserved. 2010 Nov;21(4):1340-53. doi: 10.1353/hpu.2010.0934.
The need for long-term care services for American Indians and Alaska Natives (AI/ANs) is great since this population is experiencing some of the highest rates in the United States of chronic disease and disability.
Between 2005 and 2007, a survey on access and barriers to long-term care was mailed to key informants at 305 tribes and tribal consortia. Targeted key informants included Health Directors, Social Service Directors, Older Americans Act Title VI Directors, and Community Health Representative or Community Health Aide Directors. Survey-adjusted data were analyzed descriptively.
Four hundred and forty-two respondents returned surveys representing 220 tribes and consortia. Human services were overall more available than health services. There was a high level of interest for long-term care services among consumers and tribal leaders. Funding issues were the most prevalent reported factors adversely affecting long-term care development.
Efforts are needed to improve AI/ANs access to these services.
美国印第安人和阿拉斯加原住民（AI/ANs）对长期护理服务的需求很大，因为这一群体在美国慢性病和残疾发生率处于最高水平。
2005年至2007年间，一项关于长期护理服务获取和障碍的调查被邮寄给305个部落和部落联盟的关键信息提供者。目标关键信息提供者包括卫生主任、社会服务主任、《美国老年人法案》第六章主任以及社区健康代表或社区健康助理主任。对调查调整后的数据进行描述性分析。
442名受访者返回了调查问卷，代表220个部落和联盟。总体而言，人类服务比健康服务更容易获得。消费者和部落领导人对长期护理服务的兴趣很高。资金问题是报告的对长期护理发展产生不利影响的最普遍因素。
需要努力改善AI/ANs获得这些服务的机会。
