Integrative Literature Review: Health Impacts Due to the Lack of Level I Trauma Centers in American Indian and Alaskan Native Communities

Abstract

Background: Research suggests that the lack of level I trauma centers should be investigated as a strategy to improve overall health status and provide economic opportunities for American Indians and Alaskan Natives.

Objectives: The purpose of this integrative literature review was to explore what research had been conducted about the effects on the health status of American Indian and Alaskan Natives living on reservations that lack trauma I centers.

Methods: This integrative literature review used a data matrix method of correlational research.

Results: The lack of funding for IHS; children, diabetes, mental health and substance abuse patients are the most vulnerable patient populations within the American Indian and Alaska Native population who would benefit the most to comprehensive medical care; improving provider/patient relationship; facility and staff preparedness; implementing culturally tailored care management intervention were found to be the common themes throughout this research.

Conclusion: This integrative literature review demonstrated the need to provide American Indian and Alaskan Natives the access to trauma I centers, or their equivalent, to ensure comprehensive medical care.

Keywords: American Indian and Alaskan Natives, trauma centers, medical care, disparities, inequalities