Rhoades E R, Deer Smith M H
Community Affairs, University of Oklahoma Health Sciences Center, Oklahoma City 73190, USA.
J Okla State Med Assoc. 1996 May;89(5):165-72.
The many unique aspects of Indian life extend into the health care arena, of special interest in Oklahoma, the "home of the red man." The long historical relationship of certain Indian tribes with the federal government has resulted in one of the most complicated social, administrative, and governmental arrangements anywhere. A consequence of this relationship was, in effect, a business transaction resulting in the ceding of virtually all Indian lands of the U.S. and an assumption by the latter to provide certain services, including health care, to affected tribes. With the 33 different tribes in Oklahoma; the dual entitlement possessed by Indian people; the contributions of the Indian Health Service to the economy of Oklahoma; and the growing revolution in health care, knowledge of the special circumstances of Indian life and health care is important even for practitioners who do not regularly encounter Indian people in their own practices.
印第安人生活的诸多独特方面延伸至医疗保健领域,这在“红人之乡”俄克拉何马州尤为引人关注。某些印第安部落与联邦政府长期的历史关系,造就了世界上最为复杂的社会、行政及政府安排之一。这种关系的一个后果实际上是一场商业交易,导致美国几乎所有印第安土地被割让,而美国承担起为受影响部落提供包括医疗保健在内的某些服务的责任。俄克拉何马州有33个不同的部落;印第安人拥有双重权益;印第安卫生服务局对俄克拉何马州经济的贡献;以及医疗保健领域日益兴起的变革,即便对于那些在日常工作中不常接触印第安人的从业者而言,了解印第安人生活及医疗保健的特殊情况也很重要。