Bashshur R, Steeler W, Murphy T
Am J Public Health. 1987 Jun;77(6):690-3. doi: 10.2105/ajph.77.6.690.
We analyzed the ramifications and potential effects of a pending regulation that restricts Indian eligibility for health care. The most serious implication is a dwindling of support for Indian health care while the health of Indians continues to lag behind that of all other groups in the United States. Empirical analysis in one service area of the Indian Health Service (IHS) in Oklahoma reveals Indians of lower blood quantum to be younger, lower utilizers of expensive medical services, especially hospitals. The sudden loss of health care benefits from IHS will be detrimental not only to this population and to an ever increasing number of Indians in the future but also to the local service units in the Indian Health Service.
我们分析了一项即将出台的限制印第安人获得医疗保健资格的法规的影响及潜在后果。最严重的影响是,在印第安人的健康状况仍落后于美国所有其他群体的情况下,对印第安人医疗保健的支持却在减少。对俄克拉荷马州印第安卫生服务局(IHS)一个服务区域的实证分析表明,血统比例较低的印第安人更年轻,对昂贵医疗服务(尤其是医院服务)的使用率较低。印第安卫生服务局医疗保健福利的突然丧失不仅会对这一群体以及未来越来越多的印第安人不利,也会对印第安卫生服务局的当地服务单位不利。