{"id":"https://openalex.org/W2421808698","doi":null,"title":"A brief discussion of the development of Native owned health provider agencies in Alaska within the context of anticipated health and systems issues.","display_name":"A brief discussion of the development of Native owned health provider agencies in Alaska within the context of anticipated health and systems issues.","publication_year":1991,"publication_date":"1991-01-01","ids":{"openalex":"https://openalex.org/W2421808698","mag":"2421808698","pmid":"https://pubmed.ncbi.nlm.nih.gov/1365068"},"language":"en","primary_location":{"id":"pmid:1365068","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1365068","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arctic medical research","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013979564","display_name":"DeGross Dp","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210146083","display_name":"Alaska Native Health Board","ror":"https://ror.org/03r9dgm57","country_code":"US","type":"other","lineage":["https://openalex.org/I4210146083"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"D P DeGross","raw_affiliation_strings":["Alaska Native Health Board, Inc., Anchorage"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Alaska Native Health Board, Inc., Anchorage","institution_ids":["https://openalex.org/I4210146083"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5013979564"],"corresponding_institution_ids":["https://openalex.org/I4210146083"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"Suppl","issue":null,"first_page":"101","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13864","display_name":"Indigenous Cultures and History","score":0.00800000037997961,"subfield":{"id":"https://openalex.org/subfields/3314","display_name":"Anthropology"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13879","display_name":"Indigenous Peoples' Rights and Law","score":0.006399999838322401,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/native-american-health-care","display_name":"Native American health care","score":0.6470000147819519},{"id":"https://openalex.org/keywords/indian-health-service","display_name":"Indian Health Service","score":0.7720000147819519},{"id":"https://openalex.org/keywords/alaska-native-claims-settlement-act","display_name":"Alaska Native Claims Settlement Act","score":0.9909999966621399},{"id":"https://openalex.org/keywords/cost-shifting","display_name":"cost shifting","score":0.722000002861023},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.7210000157356262},{"id":"https://openalex.org/keywords/health-care-inflation","display_name":"health care inflation","score":0.6539999842643738},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.5049999952316284},{"id":"https://openalex.org/keywords/american-indian-and-alaska-native-populations","display_name":"American Indian and Alaska Native populations","score":0.6290000081062317}],"concepts":[{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6139720678329468},{"id":"https://openalex.org/C2777063073","wikidata":"https://www.wikidata.org/wiki/Q1553237","display_name":"Settlement (finance)","level":3,"score":0.5720890164375305},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4985654354095459},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.4777925908565521},{"id":"https://openalex.org/C2778584943","wikidata":"https://www.wikidata.org/wiki/Q6459541","display_name":"LOOM","level":2,"score":0.4684199392795563},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4672037959098816},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.4473409950733185},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4366509020328522},{"id":"https://openalex.org/C16678853","wikidata":"https://www.wikidata.org/wiki/Q486972","display_name":"Human settlement","level":2,"score":0.4115154445171356},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3336433470249176},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.27362048625946045},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.24819058179855347},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.23864737153053284},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.19887641072273254},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.19670724868774414},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.18704408407211304},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.16517895460128784},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.0},{"id":"https://openalex.org/C548081761","wikidata":"https://www.wikidata.org/wiki/Q180388","display_name":"Waste management","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000413","descriptor_name":"Alaska","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004930","descriptor_name":"Inuit","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006298","descriptor_name":"Health Services Administration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007198","descriptor_name":"Indians, North American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016549","descriptor_name":"United States Indian Health Service","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:1365068","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1365068","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arctic medical research","raw_type":"Journal Article"},{"id":"mag:2421808698","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1365068","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.47620001435279846,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W6997062967","https://openalex.org/W2275007060","https://openalex.org/W7047733123","https://openalex.org/W2121657878","https://openalex.org/W2115959112","https://openalex.org/W6991724864","https://openalex.org/W2063591462","https://openalex.org/W4391220781","https://openalex.org/W6997094899","https://openalex.org/W2156809617"],"abstract_inverted_index":{"The":[0],"Self-Determination":[1,130],"Act":[2,27,131],"brought":[3],"about":[4],"an":[5,164,192],"explosive":[6],"growth":[7],"of":[8,41,51,94,111,128,144,179,195,219,229],"tribally":[9],"run":[10],"programs":[11],"in":[12,35,59,65,222],"Alaska":[13,23,60,201],"during":[14],"the":[15,18,22,57,71,92,97,104,109,115,119,129,142,159,168,177,180,209,216,223,227],"1970s":[16],"at":[17,91],"same":[19,210],"time":[20,93,155],"that":[21,76,121,213],"Native":[24,202],"Claims":[25],"Settlement":[26],"was":[28,89],"being":[29,205],"implemented.":[30],"Tribes":[31],"demonstrated":[32,62],"great":[33,63],"creativity":[34],"blending":[36],"IHS":[37,116],"with":[38,70,170],"other":[39],"sources":[40],"funds":[42],"to":[43,53,82,125,148,156,166,172,190,197],"develop":[44],"more":[45,48],"effective":[46,67],"and":[47,200],"acceptable":[49],"delivery":[50],"services":[52,196],"their":[54,84],"people.":[55],"Further,":[56],"tribes":[58,122],"have":[61,78],"aptitude":[64],"developing":[66],"lobbying":[68],"techniques":[69],"United":[72,224],"States":[73,225],"Congress,":[74],"such":[75],"they":[77],"actually":[79],"been":[80],"able":[81],"increase":[83],"funding":[85],"base":[86],"beyond":[87],"what":[88],"assumed":[90],"takeover":[95],"from":[96,154],"IHS.":[98],"However,":[99],"several":[100],"problems":[101],"loom":[102],"on":[103],"horizon.":[105],"First,":[106],"there":[107,140],"is":[108,141,204],"problem":[110,143],"cost":[112],"shifting":[113],"within":[114],"which":[117,153],"contains":[118],"potential":[120],"opting":[123],"not":[124],"take":[126],"advantage":[127],"may":[132],"be":[133],"victimized":[134],"by":[135,185,208],"those":[136],"who":[137],"do.":[138],"Second,":[139],"too":[145,150],"few":[146],"resources":[147],"serve":[149],"many":[151],"patients,":[152],"time,":[157],"propels":[158],"Indian":[160,181,199],"Health":[161,182],"Service":[162,183],"toward":[163,226],"attempt":[165],"change":[167],"rules":[169],"respect":[171],"eligibility":[173],"for":[174],"services.":[175],"Finally,":[176],"ability":[178],"(and":[184],"extension,":[186],"its":[187],"contract":[188],"tribes)":[189],"provide":[191],"adequate":[193],"level":[194],"American":[198],"clients":[203],"dramatically":[206],"eroded":[207],"inflationary":[211],"forces":[212],"are":[214],"driving":[215],"larger":[217],"system":[218],"health":[220],"care":[221],"brink":[228],"disaster.":[230]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
