American Indian (Al) children face a number of disparities in health and health care. One area that has received little attention is the use of and care provided to Al children at the emergency department (ED). The little research that has been performed suggests that Al children have increased usage of the ED, increased rates of leaving without care, and possible differential care provided within the ED setting. This study aims to more fully understand and characterize the patterns of ED use and care for Al children in the Upper Midwest and develop interventions to address issues that are unexplored to date. We will partner with a collection of EDs throughout the Upper Midwest as well as Al communities within the catchment area of these EDs. Through our partners, we will gather data from the hospitals to help clarify usage and care practices and gather feedback from the care providers within the EDs. We will also go into the communities to talk to Al parents, guardians, and elders to obtain their perspectives on ED use and care provided. The information collected will be used to develop interventions to help improve ED use and care for Al children. This study is unique in examining the use and care provided to Al children in the ED. While studies have explored disparities in ED usage and care for other minority groups, none have focused specifically on Al children. No interventions within the ED have yet been proposed or developed specific to this population, which is a critical need this proposal will meet.
Al children have a rate of ED use that is higher than any other race/ethnicity and are relatively frequent users of EDs, but also have high rates of leaving the ED without being seen. Many social determinants may factor into these use patterns and lead to overuse and lower quality care. Understanding use and care patterns within EDs will result in a more comprehensive picture of health care in this population. Interventions to address issues of ED use and care could lead to substantially improved health for Al children.
|Nickel, Amanda J; Puumala, Susan E; Kharbanda, Anupam B (2018) Vaccine-preventable, hospitalizations among American Indian/Alaska Native children using the 2012 Kid's Inpatient Database. Vaccine 36:945-948|
|Zook, Heather G; Kharbanda, Anupam B; Puumala, Susan E et al. (2018) Emergency Department Utilization by Native American Children. Pediatr Emerg Care 34:802-809|
|Fretts, Amanda M; Huber, Corrine; Best, Lyle G et al. (2018) Availability and Cost of Healthy Foods in a Large American Indian Community in the North-Central United States. Prev Chronic Dis 15:E03|
|Weber, Tess L; Ziegler, Katherine M; Kharbanda, Anupam B et al. (2018) Leaving the emergency department without complete care: disparities in American Indian children. BMC Health Serv Res 18:267|
|Liddell, Jessica L; Burnette, Catherine E; Roh, Soonhee et al. (2018) Healthcare barriers and supports for American Indian women with cancer. Soc Work Health Care 57:656-673|
|Bear, Ursula Running; Garroutte, Eva Marie; Beals, Janette et al. (2018) Spirituality and mental health status among Northern Plain tribes. Ment Health Relig Cult 21:274-287|
|Bear, Ursula Running; Beals, Janette; Kaufman, Carol E et al. (2018) Boarding School Attendance and Physical Health Status of Northern Plains Tribes. Appl Res Qual Life 13:633-645|
|Lee, Yeon-Shim; Burnette, Catherine E; Liddell, Jessica et al. (2018) Understanding the social and community support networks of American Indian women cancer survivors. J Evid Inf Soc Work 15:481-493|
|Pickner, Wyatt J; Ziegler, Katherine M; Hanson, Jessica D et al. (2018) Community Perspectives on Emergency Department Use and Care for American Indian Children. J Racial Ethn Health Disparities 5:939-946|
|Burnette, Catherine E; Liddell, Jessica; Roh, Soonhee et al. (2018) American Indian women cancer survivors' perceptions and experiences with conventional and non-conventional mental health care for depressive symptoms. Ethn Health :1-20|
Showing the most recent 10 out of 21 publications