{"id":"https://openalex.org/W2942021962","doi":"https://doi.org/10.1093/jamia/ocz052","title":"Envisioning health equity for American Indian/Alaska Natives: a unique HIT opportunity","display_name":"Envisioning health equity for American Indian/Alaska Natives: a unique HIT opportunity","publication_year":2019,"publication_date":"2019-04-05","ids":{"openalex":"https://openalex.org/W2942021962","doi":"https://doi.org/10.1093/jamia/ocz052","mag":"2942021962"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocz052","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocz052","pdf_url":"https://academic.oup.com/jamia/article-pdf/26/8-9/891/29170243/ocz052.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/jamia/article-pdf/26/8-9/891/29170243/ocz052.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102708794","display_name":"Theresa Cullen","orcid":"https://orcid.org/0000-0002-8730-5688"},"institutions":[{"id":"https://openalex.org/I1324682000","display_name":"Regenstrief Institute","ror":"https://ror.org/05f2ywb48","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1324682000"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Theresa Cullen","raw_affiliation_strings":["Center for Biomedical Informatics, Regenstrief Institute, Inc, Indianapolis, Indiana, USA"],"affiliations":[{"raw_affiliation_string":"Center for Biomedical Informatics, Regenstrief Institute, Inc, Indianapolis, Indiana, USA","institution_ids":["https://openalex.org/I1324682000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034978032","display_name":"Jan Flowers","orcid":"https://orcid.org/0000-0001-5076-8569"},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210102685","display_name":"Neurobehavioral Systems","ror":"https://ror.org/018d33y89","country_code":"US","type":"other","lineage":["https://openalex.org/I4210102685"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jan Flowers","raw_affiliation_strings":["Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington, USA"],"affiliations":[{"raw_affiliation_string":"Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington, USA","institution_ids":["https://openalex.org/I4210102685","https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071151728","display_name":"Thomas D. Sequist","orcid":"https://orcid.org/0000-0001-6683-1884"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas D Sequist","raw_affiliation_strings":["Division of General Medicine, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"],"affiliations":[{"raw_affiliation_string":"Division of General Medicine, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070757452","display_name":"Howard Hays","orcid":null},"institutions":[{"id":"https://openalex.org/I1324682000","display_name":"Regenstrief Institute","ror":"https://ror.org/05f2ywb48","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1324682000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Howard Hays","raw_affiliation_strings":["Center for Biomedical Informatics, Regenstrief Institute, Inc, Indianapolis, Indiana, USA"],"affiliations":[{"raw_affiliation_string":"Center for Biomedical Informatics, Regenstrief Institute, Inc, Indianapolis, Indiana, USA","institution_ids":["https://openalex.org/I1324682000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061153292","display_name":"Paul Biondich","orcid":"https://orcid.org/0000-0001-7637-1420"},"institutions":[{"id":"https://openalex.org/I1324682000","display_name":"Regenstrief Institute","ror":"https://ror.org/05f2ywb48","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1324682000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul Biondich","raw_affiliation_strings":["Global Health Informatics, Center for Biomedical Informatics, Regenstrief Institute, Inc, Indianapolis, Indiana, USA"],"affiliations":[{"raw_affiliation_string":"Global Health Informatics, Center for Biomedical Informatics, Regenstrief Institute, Inc, Indianapolis, Indiana, USA","institution_ids":["https://openalex.org/I1324682000"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006281350","display_name":"Maia Z. Laing","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maia Z Laing","raw_affiliation_strings":["Office of the Chief Technology Officer, U.S. Department of Health and Human Services, Washington, DC, USA"],"affiliations":[{"raw_affiliation_string":"Office of the Chief Technology Officer, U.S. Department of Health and Human Services, Washington, DC, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5102708794"],"corresponding_institution_ids":["https://openalex.org/I1324682000"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":{"value":3967,"currency":"USD","value_usd":3967},"fwci":1.4329,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.86935241,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"26","issue":"8-9","first_page":"891","last_page":"894"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9979000091552734,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9979000091552734,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9781000018119812,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9765999913215637,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/equity","display_name":"Equity (law)","score":0.7146791815757751},{"id":"https://openalex.org/keywords/health-equity","display_name":"Health equity","score":0.6985546350479126},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.6074094176292419},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5564435720443726},{"id":"https://openalex.org/keywords/reimbursement","display_name":"Reimbursement","score":0.5376395583152771},{"id":"https://openalex.org/keywords/ethnic-group","display_name":"Ethnic group","score":0.4325520992279053},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.4318787753582001},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.34825390577316284},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.33786267042160034},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.18550613522529602},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.1455909013748169}],"concepts":[{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.7146791815757751},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.6985546350479126},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6074094176292419},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5564435720443726},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5376395583152771},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.4325520992279053},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.4318787753582001},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.34825390577316284},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33786267042160034},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.18550613522529602},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1455909013748169},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1093/jamia/ocz052","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocz052","pdf_url":"https://academic.oup.com/jamia/article-pdf/26/8-9/891/29170243/ocz052.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5651286","is_oa":false,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6696492","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:scholarworks.indianapolis.iu.edu:1805/19455","is_oa":true,"landing_page_url":"https://hdl.handle.net/1805/19455","pdf_url":null,"source":{"id":"https://openalex.org/S4306400987","display_name":"IUScholarWorks (Indiana University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I592451","host_organization_name":"Indiana University","host_organization_lineage":["https://openalex.org/I592451"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Publisher","raw_type":"Article"},{"id":"pmh:oai:scholarworks.iupui.edu:1805/19455","is_oa":true,"landing_page_url":"http://hdl.handle.net/1805/19455","pdf_url":null,"source":{"id":"https://openalex.org/S4306400987","display_name":"IUScholarWorks (Indiana University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I592451","host_organization_name":"Indiana University","host_organization_lineage":["https://openalex.org/I592451"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Publisher","raw_type":"Article"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocz052","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocz052","pdf_url":"https://academic.oup.com/jamia/article-pdf/26/8-9/891/29170243/ocz052.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.5299999713897705,"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306085","display_name":"U.S. Department of Health and Human Services","ror":"https://ror.org/033jnv181"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2942021962.pdf","grobid_xml":"https://content.openalex.org/works/W2942021962.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W587150375","https://openalex.org/W1959925435","https://openalex.org/W1964796459","https://openalex.org/W1980580937","https://openalex.org/W2065215163","https://openalex.org/W2145003372","https://openalex.org/W2146167065","https://openalex.org/W2401408398","https://openalex.org/W2417992011","https://openalex.org/W2461355752","https://openalex.org/W2463483938","https://openalex.org/W2496601852","https://openalex.org/W2604171427","https://openalex.org/W2604369263","https://openalex.org/W2804855398","https://openalex.org/W2903282782","https://openalex.org/W2913361692","https://openalex.org/W4292407143","https://openalex.org/W6641034567","https://openalex.org/W6712814047","https://openalex.org/W6717013308","https://openalex.org/W6718434573","https://openalex.org/W6718833290","https://openalex.org/W6752211975"],"related_works":["https://openalex.org/W2381272187","https://openalex.org/W1562618899","https://openalex.org/W3025458114","https://openalex.org/W4391740589","https://openalex.org/W2114212881","https://openalex.org/W3013101519","https://openalex.org/W2163184657","https://openalex.org/W2018661294","https://openalex.org/W4318965972","https://openalex.org/W3037096327"],"abstract_inverted_index":{"Abstract":[0],"The":[1,63],"Indian":[2],"Health":[3],"Service":[4],"provides":[5],"care":[6],"to":[7,54,59,74,100,114,145],"remote":[8],"and":[9,26,45,57,70,97,147],"under-resourced":[10],"communities":[11],"in":[12,32,37],"the":[13,23,33,38,40,43,68,98],"United":[14,34],"States.":[15,35],"American":[16],"Indian/Alaska":[17],"Native":[18],"patients":[19],"have":[20,85],"some":[21],"of":[22],"highest":[24],"morbidity":[25],"mortality":[27],"among":[28],"any":[29],"ethnic":[30],"group":[31],"Starting":[36],"1980s,":[39],"IHS":[41,64],"implemented":[42],"Resource":[44,69],"Patient":[46,71],"Management":[47,72],"System":[48,73],"health":[49,78,127,152],"information":[50,79,105],"technology":[51],"(HIT)":[52],"platform":[53],"improve":[55],"efficiency":[56],"quality":[58],"address":[60],"these":[61],"disparities.":[62],"is":[65,126],"currently":[66],"assessing":[67],"ensure":[75],"that":[76,109,150],"changing":[77],"needs":[80],"are":[81],"met.":[82],"HIT":[83,111,134,149],"assessments":[84],"traditionally":[86],"focused":[87],"on":[88,107],"cost,":[89],"reimbursement":[90],"opportunities,":[91],"infrastructure,":[92],"required":[93],"or":[94],"desired":[95],"functionality,":[96],"ability":[99],"meet":[101],"provider":[102],"needs.":[103],"Little":[104],"exists":[106],"frameworks":[108],"assess":[110],"legacy":[112],"systems":[113],"determine":[115],"solutions":[116],"for":[117,131,136],"an":[118],"integrated":[119],"rural":[120],"healthcare":[121],"system":[122],"whose":[123],"end":[124],"goal":[125],"equity.":[128],"This":[129],"search":[130],"a":[132,137,142],"next-generation":[133],"solution":[135],"historically":[138],"underserved":[139],"population":[140],"presents":[141],"unique":[143],"opportunity":[144],"envision":[146],"redefine":[148],"supports":[151],"equity":[153],"as":[154],"its":[155],"core":[156],"mission.":[157]},"counts_by_year":[{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-03-20T23:20:44.827607","created_date":"2019-05-03T00:00:00"}