ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Health Care Access and Utilization for American Indian Elders: A Concept-Mapping Study.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Awareness of Family Caregiver Resources and Alignment with Traditional Culture in a Midwest Tribal Nation in the United States.Journal of community health · 2026Article
- Risk factors and population attributable fraction for dementia in American Indians: The Strong Heart Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Evaluating Disparities in End-Stage Kidney Disease Survival Among American Indian/Alaska Native Persons with Diabetes.Journal of racial and ethnic health disparities · 2025Article
- Oral health needs of Wampanoag elders on Martha's Vineyard: A comprehensive assessment.Gerodontology · 2025Article
- Research Participation Among American Indian and Alaskan Native Individuals Living With Parkinson's Disease.Parkinson's disease · 2025Article
- Trends in Diverticular Disease Hospitalizations and Racial Disparities in Outcomes Across the United States.Cureus · 2024Article
- Life Space and Activity Space Measurement: Making "Room" for Structural Racism.The Gerontologist · 2024Review
- Article
- Assessing associations between individual-level social determinants of health and COVID-19 hospitalizations: Investigating racial/ethnic disparities among people living with human immunodeficiency virus (HIV) in the U.S. National COVID Cohort Collaborative (N3C).Journal of clinical and translational science · 2024Article
- "Treat Me like Your Family": Positive Factors that Influence Patient-Provider Relationships for Native American Women.Social work in public health · 2023Article
- The Community as the Unit of Healing: Conceptualizing Social Determinants of Health and Well-Being for Older American Indian Adults.The Gerontologist · 2022Article
- Causes and Consequences of Not Having a Personal Healthcare Provider Among American Indian Elders: A Mixed-Method Study.Frontiers in public health · 2022Article
- Equity in healthcare access and service coverage for older people: a scoping review of the conceptual literature.Integrated healthcare journal · 2022Article
- "Making Sense of a Disease That Makes No Sense": Understanding Alzheimer's Disease and Related Disorders Among Caregivers and Providers Within Alaska Native Communities.The Gerontologist · 2021Article
- Last mile research: a conceptual map.Global health action · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesInequities in access to and utilization of health care greatly influence the health and quality of life of American Indian elders (AIEs). This study explores the importance and perceived prevalence of factors affecting health care use within this population and assesses the changeability of these factors to produce a list of action items that are timely and relevant to improving health care access and utilization.
methodConcept mapping was conducted with AIEs (n = 65) and professional stakeholders (n = 50), including tribal leaders, administrators of public-sector health systems, outreach workers, and health care providers. Data were analyzed using multidimensional scaling and cluster analyses.
resultsThe final concept-map model comprised nine thematic clusters related to factors affecting elder health care: Difficulties Obtaining and Using Insurance; Insecurity from Lack of Knowledge; Limited Availability of Services; Scheduling Challenges; Provider Issues and Relationships; Family and Emotional Challenges; Health-Related Self-Efficacy and Knowledge; Accessibility and Transportation Barriers; and Tribal/National Policy. DISCUSSION: Findings suggest that improvements in access to and utilization of health care among AIEs will require actions across multiple domains, including health system navigation services, workforce improvements, and tribal, state, and federal policy. A multilevel socioecological approach is necessary to organize and undertake these actions.
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