1. Strength:
• Dr. Trujillo during his mandate as Director of the IHS recognized that have to respect and work together with the IA/AN culture.
• The leadership belong and knows their culture.
• The government recognize their health care problems and wants to work with them in the implementation of new strategies.
• In 1988, the IHS achieved the Indian Health Care Amendments with a new revenue source of third-party payers (Medicaid, Medicare, and other insurance) that covered the inpatient and outpatient services.
2. Weakness:
• The different perception of how important is health in their tribes by the leaders.
• No all the tribes signed treaties …show more content…
• Increasing the health care personnel and reducing the headquarter leaders.
4. Threats:
• The IHS programs cannot collect the cost of the health care services.
• Some states has the misconception about how is the health care cost of the AI/AN community. They have the same privileges than another citizen to get state resources.
• The IHS depend of the treaties between the government and the tribes making it hard to achieve agreements.
Although the general health of the AI/AN community it is not optimal compared with another ethnic groups of the nation it is important that leaders such as Dr. Trujillo that has the same culture and growth up with the desire to help his community works for the implementation and improvement of the health care services. According to Sequist, Cullen, and Acton 2011, the health service innovation such as the electronic health record, is helping to reduce the health disparities between the AI/AN and other ethics groups in the US, such as the life-expectancy and diabetes control, and reduce the cross-cultural communication barriers.