Authors: Donald Warne, Twyla Baker, Michael Burson, Allison Kelliher, Melissa Buffalo, Jonathan Baines, Jeremy Whalen, Michelle Archambault, Kimberly Jinnett, Shalini V. Mohan, Rebekah J. Fineday

Journal: Frontiers in Health Services

Publication Year: April 2, 2025

Keywords: COVID-19, Culturally Informed Care, Diabetes, Health Care Access, Social Determinants of Health (SDOH), Health Disparities, Specialty Care, Clinical trials, traditional practices, Traditional Healing

Abstract: This review examines barriers and unmet health care needs affecting American Indian and Alaska Native (AI/AN) communities, with particular attention to access to specialty care and clinical research. The authors describe patient, provider, and institutional barriers arising from historical experiences, health system inequities, racism, limited availability of AI/AN providers, and insufficient incorporation of community leadership and cultural practices. The review highlights disparities in access to high-quality health services and the underrepresentation of AI/AN people in clinical research. It presents examples and best practices for improving access to screening, specialty care, and clinical trials and emphasizes sustained community-based partnerships and strength- and trust-based approaches to promote health equity.

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Type of Resource: Peer-reviewed journal article