ArticleFrontiers in public health2022
Causes and Consequences of Not Having a Personal Healthcare Provider Among American Indian Elders: A Mixed-Method Study.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systems, Social, and Individual Factors Influencing Glycemic Control Among American Indian/Alaska Native Adults with Type 2 Diabetes: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Disparities in Cutaneous Melanoma Diagnosis and Survival Among American Indian and Alaskan Native Patients: A Systematic Review and Meta-Analysis.Journal of surgical oncology · 2026Pooled it
- "Are They Just Experimenting With All of Us?" Cultural Considerations for Clinicians Caring for Seriously Ill Great Plains American Indians.The American journal of hospice & palliative care · 2026Article
- Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed Methods Digital Health Study.JMIR research protocols · 2025Article
- Disparities and Barriers to Care in Plastic and Reconstructive Surgery for Native American and First Nations Populations.Plastic and reconstructive surgery. Global open · 2025Article
- An Introduction to Traditional Healing in American Indian and Alaska Native Communities.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders.Journal of health care for the poor and underserved · 2024Article
- Article
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Authors and funding
5 authors.
Funding
Abstract
Having a regular relationship with a healthcare provider contributes to better health outcomes and greater satisfaction with care for older adults. Although members of federally recognized American Indian tribes have a legal right to healthcare, American Indian Elders experience inequities in healthcare access that may compromise their ability to establish a relationship with a healthcare provider. This multi-year, community-driven, mixed-method study examines the potential causes and consequences of not having a personal healthcare provider among American Indian Elders. Quantitative surveys and qualitative interviews were conducted with 96 American Indian Elders (age 55 and over) in two states in the Southwestern United States. Quantitative and qualitative data were analyzed separately and then triangulated to identify convergences and divergences in data. Findings confirmed that having a consistent healthcare provider correlated significantly with self-rated measures of health, confidence in getting needed care, access to overall healthcare, and satisfaction with care. Lack of a regular healthcare provider was related to interconnected experiences of self-reliance, bureaucratic and contextual barriers to care, and sentiments of fear and mistrust based in previous interactions with medical care. Increasing health equity for American Indian Elders will thus require tailored outreach and system change efforts to increase continuity of care and provider longevity within health systems and build Elders' trust and confidence in healthcare providers.
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Registered trials
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