Evidence map›Paper›PMID 35363822›Full record

ArticlePloS one2022

American Indian and Alaska Native veterans in the Indian Health Service: Health status, utilization, and cost.

Carol E Kaufman, Laura Grau, Rene Begay, Margaret Reid, Cynthia W Goss, Bret Hicken, Jay H Shore, Joan O'Connell

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Carol E KaufmanU.S. Department of Veterans Affairs (VA), Office of Rural Health (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, United States of America.ORCID 0000-0001-5136-3862
Laura GrauCenters for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, CO, United States of America.
Rene BegayU.S. Department of Veterans Affairs (VA), Office of Rural Health (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, United States of America.ORCID 0000-0002-3650-4417
Margaret ReidDepartment of Health Services, Management, and Policy, Colorado School of Public Health, University of Colorado-Anschutz Medical Campus, Aurora, CO, United States of America.
Cynthia W GossU.S. Department of Veterans Affairs (VA), Office of Rural Health (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, United States of America.
Bret HickenU.S. Department of Veterans Affairs (VA), Office of Rural Health (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, United States of America.
Jay H ShoreU.S. Department of Veterans Affairs (VA), Office of Rural Health (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, United States of America.
Joan O'ConnellCenters for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, CO, United States of America.
United States Department of Veterans Affairs · USColorado School of Public Health · USNative Health · US

Funding

Dementia epidemiology, health service utilization and treatment costs among American Indian and Alaska Native EldersR01AG061189 · NIA · UNIVERSITY OF COLORADO DENVER · PI JIANG, LUOHUA, OCONNELL, JOAN M · 2019 to 2023
$2.9M
Effectiveness of advanced practice pharmacy services among American Indian and Alaska Native adults with diabetesR18DK114757 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MANSON, SPERO MARTIN, OCONNELL, JOAN M · 2017 to 2019
$681k
NIA NIH HHS R01 AG061189NIDDK NIH HHS R18 DK114757
6 · The paper itself

Abstract

purposeMany rural American Indian and Alaska Native (AIAN) veterans receive care from the Indian Health Service (IHS). United States Department of Veterans Affairs (VA) has reimbursement agreements with some IHS facilities and tribal programs and seeks to expand community partnerships in tribal areas, but details of how AIAN veterans use IHS are unknown. We aimed to assess the health status, service utilization patterns, and cost of care of veterans who use IHS.

methodsWe used comprehensive and integrated IHS data to compare health status, health service utilization and treatment cost of veterans (n = 12,242) to a matched sample of non-veterans (n = 12,242). We employed logistic, linear, or negative binomial regressions as appropriate, by sex and overall.

findingsCompared to non-veterans, veterans had lower odds of having hypertension, renal disease, all-cause dementia, and alcohol or drug use disorders, but had similar burden of other conditions. In service utilization, veterans had lower hospital inpatient days; patterns were mixed across outpatient services. Unadjusted treatment costs for veterans and non-veterans were $3,923 and $4,145, respectively; veteran adjusted treatment costs were statistically lower. Differences in significance by sex were found for health conditions and service use.

conclusionsAIAN veterans, compared to AIAN non-veterans, were not less healthy, nor did they require more intensive or more costly care under IHS. Our results indicate the viability and importance of expanding IHS-VA partnerships in community care.

Indexed as

Alaska NativesIndians, North AmericanVeteransAmerican Indian or Alaska NativeHealth StatusHumansUnited StatesUnited States Indian Health Service

Identifiers

PMID35363822
PMCPMC8975153
OpenAlexW4220943116

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.