United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2005-08-31 monographic deposited born digital 46 p. GA 1.13:GAO-05-789 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-789 P0b002ee18037e306 f:d05789 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-05-789 machine generated eng fdlp REPORT GAOREPORTS-GAO-05-789 GAO-05-789 Data collection Dental services Health care facilities Health care services Hospital care services Locally administered programs Native Americans Patient care services Other Written Product A34999 The Indian Health Service (IHS), located within the Department of Health and Human Services, is responsible for arranging health care services for Native Americans (American Indians and Alaska Natives). IHS services include primary care (medical, dental, and vision); ancillary services, such as laboratory and pharmacy; and specialty care, including services provided by physician specialists. IHS provides some services through direct care at hospitals, health centers, and health stations, which may be federally or tribally operated. When services are not available--that is, both offered and accessible--on site, IHS offers them, as funds permit, through contract care furnished by outside providers. Concerns persist that some Native Americans are experiencing gaps in necessary health care. GAO was asked to examine the availability of (1) primary care services and (2) ancillary and specialty services for Native Americans. Additionally, GAO examined the underlying factors associated with variations in the availability of services and strategies used by facilities to increase service availability. GAO conducted site visits to 13 facilities and interviewed IHS officials from all 12 IHS areas, which cover all or part of 35 states. GAO received written comments from IHS. IHS substantially agreed with the findings and conclusions of this report. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-789/html/GAOREPORTS-GAO-05-789.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-789/pdf/GAOREPORTS-GAO-05-789.pdf GAO-05-789 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-789 Other Written Product GAO-05-789; Indian Health Service: Health Care Services Are Not Always Available to Native Americans; Data collection Dental services Health care facilities Health care services Hospital care services Locally administered programs Native Americans Patient care services Volume 90 Page 1400 90 Stat. 1400 Public Law 94-437