Academic journal article Health Care Financing Review

Report Spotlights American Indian and Alaska Native Hemodialysis Patients

Academic journal article Health Care Financing Review

Report Spotlights American Indian and Alaska Native Hemodialysis Patients

Article excerpt

A recently released HCFA report is the first to describe quality-of-care clinical indicators for a randomized (representative) sample of American Indian and Alaska Native (AI/AN) adult, in-center hemodialysis patients in the United States. Data were derived from a 1994 Health Care Quality Improvement Project effort in which ESRD networks collected medical chart information from a random sample of adult, in-center hemodialysis patients. The purpose of collecting and analyzing these baseline core indicator data was to assist providers of ESRD services in assessing and identifying, opportunities to improve care for their hemodialysis patients.

Even though AI/AN make up less than 1 percent of the U.S. population, they are disproportionately affected by ESRD. Thus, nearly 2 percent (111/6,141) of the random sample of patients described in 1994 ESR-D Core Indicator Project-Initial Results were AI/AN. Because ESRD is a growing problem among AI/AN people, and because there is a dearth of information on the quality of care AI/AN hemodialysis patients are receiving, results of this Special Populations Report should be helpful to the Indian Health Service (IHS) Office of Health Programs, especially the IHS Renal Disease and Diabetes Programs.

Health care quality indicators included information to assess adequacy of dialysis, nutritional status, anemia, and blood pressure control. …

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