Harvard Medical School and Brigham and Women' s Hospital, Boston, Massachusetts, USA.
Health Aff (Millwood). 2011 Oct;30(10):1965-73. doi: 10.1377/hlthaff.2011.0630.
The Indian Health Service (IHS), a federal health system, cares for 2 million of the country's 5.2 million American Indian and Alaska Native people. This system has increasingly focused on innovative uses of health information technology and telemedicine, as well as comprehensive, locally tailored prevention and disease management programs, to promote health equity in a population facing multiple health disparities. Important recent achievements include a reduction in the life-expectancy gap between American Indian and Alaska Native people and whites (from eight years to five years) and improved measures of diabetes control (including 20 percent and 10 percent reductions in the levels of low-density lipoprotein cholesterol and hemoglobin A1c, respectively). However, disparities persist between American Indian and Alaska Native people and the overall US population. Continued innovation and increased funding are required to further improve health and achieve equity.
美国印第安人和阿拉斯加原住民有 520 万，而美国印第安人健康服务署（IHS）是一个联邦卫生系统，负责为其中的 200 万人提供医疗服务。该系统越来越注重利用医疗信息技术和远程医疗的创新手段，以及综合、因地制宜的预防和疾病管理方案，以促进在面临多种健康差异的人群中实现健康公平。最近取得的重要成果包括缩小了美国印第安人和阿拉斯加原住民与白人之间的预期寿命差距（从 8 年缩小到 5 年），以及改善了糖尿病控制措施（低密度脂蛋白胆固醇和糖化血红蛋白水平分别降低了 20%和 10%）。然而，美国印第安人和阿拉斯加原住民与美国总体人口之间仍存在差距。需要持续创新和增加资金投入，以进一步改善健康状况，实现公平。
