Environmental assessment of the Indian Health Service

    Authors

    P. A. Rivers; M. D. Fottler;M. Parker

    Comments

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    Abbreviated Journal Title

    Health Care Manage. Rev.

    Keywords

    competitive advantage; health care market; health disparities; Indian; Health Service; value chain analysis; POPULATION; Health Policy & Services

    Abstract

    The Indian Health Service (IHS), an agency within the U.S. Department of Health and Human Services, was responsible for providing federal health services to 1.51 million American Indian and Alaska Natives in 2000. Several opportunities related to health care exist for the IHS: potential public and private collaborations, continuation of the Clinton Administration's legacy of meaningful tribal consultation, and increasing the numbers of American Indian physicians, nurses, and other health related professionals. Modifications in federal programs such as Medicare and Medicaid pose a serious threat to the IHS because the IHS relies, on these. programs to offset the overall lack of funding. This article provides a framework for identifying the ways in which the external environment affects and determines the IHS' strategic responses to ensure competitiveness within the U.S. health care market. Value chain analysis will be used to evaluate the competitive advantages and disadvantages of them current IHS internal environment.

    Journal Title

    Health Care Management Review

    Volume

    30

    Issue/Number

    4

    Publication Date

    1-1-2005

    Document Type

    Article

    Language

    English

    First Page

    293

    Last Page

    303

    WOS Identifier

    WOS:000233292100003

    ISSN

    0361-6274

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