Title V of the Indian Health Care Improvement act 36 years later: an interpretive policy analysis

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Publication Type dissertation
School or College College of Social Work
Department Social Work
Author Ned, J. Dena
Title Title V of the Indian Health Care Improvement act 36 years later: an interpretive policy analysis
Date 2013-08
Description In 1976, the United States Congress passed The Indian Health Care Improvement Act (IHCIA), which establishes the federal obligation to maintain, improve, and assure, the highest possible health status for American Indians and Alaska Natives. Title V of the IHCIA seeks to make health services more accessible to urban American Indians through federal support of Urban Indian Health Organizations. The Patient Protection and Affordable Care Act was passed in March 2010; as part of this act, the IHCIA was given permanent authorization. Today, urban Indians continue to experience significant health disparities compared with the general population, and chronic diseases are on the rise, creating more challenges for the people and the health care delivery system. There is a lack of research on the outcomes of Title V. Traditional policy analysis looks to assess whether a policy is working. Utilizing Interpretive Policy Analysis, this dissertation identifies the different communities of meaning about Title V. According to Yanow, different communities of meaning provide alternative views in which there is no single correct formulation of a policy statement. Through interviews, extensive document analysis, and observation, this dissertation fills a void in the research literature on Urban Indian Health. In this era of health care reform, it is imperative to focus attention on a long-lasting urban Indian health crisis. Identifying the cultural understanding of this population's health inequalities may lead to socially just policy.
Type Text
Publisher University of Utah
Subject Federal Indian Policy; Health care policy; Indian Health Care Improvement Act; Urban Indian health organizations; Urban Indians
Dissertation Institution University of Utah
Dissertation Name Doctor of Philosophy
Language eng
Rights Management Copyright © J. Dena Ned 2013
Format Medium application/pdf
Format Extent 806,266 bytes
Identifier etd3/id/2559
ARK ark:/87278/s6100bfs
Setname ir_etd
ID 196135
Reference URL https://collections.lib.utah.edu/ark:/87278/s6100bfs