Anchorage, AK, United States
Anchorage, AK, United States

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Hiratsuka V.Y.,Southcentral Foundation
International journal of circumpolar health | Year: 2012

Members of racially and ethnically diverse groups have been persistently underrepresented in biomedical research in general, possibly due to mistrust with the medical and research community. This article describes the perceptions, understandings, and expectations of Alaska Native people about research involving the collection and storage of biological specimens. Stratified focus groups. Twenty-nine focus groups with Alaska Native people (n = 178) were held in 14 locations using a semi-structured moderator guide. ATLAS.ti was used for thematic analysis through iterative readings and coding. Alaska Native peoples' perceptions, understandings, and expectations of researcher beneficence, informed consent processes, and provision of research findings were elicited. Alaska Native people desired extensive disclosure of information beyond that typically provided in consent and results dissemination processes. Information germane to the motivation and intent of researchers and specifics of specimen storage and destruction were specifically requested. A clear and extensive process of informed consent and continued improvements in sharing results may enhance the transparency of research intent, conduct, and use of obtained results among Alaska Native people. Meeting expectations may improve relationships between researchers and the Alaska Native population which could result in increased research participation. Our findings offer a guide for researchers and communities when planning and implementing research with biological specimens.


Gottlieb K.,Southcentral Foundation
International Journal of Circumpolar Health | Year: 2013

Southcentral Foundation's Nuka System of Care, based in Anchorage, Alaska, is a result of a customerdriven overhaul of what was previously a bureaucratic system centrally controlled by the Indian Health Service. Alaska Native people are in control as the "customer-owners" of this health care system. The vision and mission focus on physical, mental, emotional, and spiritual wellness and working together as a Native Community. Coupled with operational principles based on relationships, core concepts and key points, this framework has fostered an environment for creativity, innovation and continuous quality improvement. Alaska Native people have received national and international recognition for their work and have set high standards for performance excellence, community engagement, and overall impact on population health. In this article, the health care transformation led by Alaska Native people is described and the benefits and results of customer ownership and the relationship-based Nuka System of Care are discussed. © 2013 Katherine Gottlieb.


Dillard D.A.,Southcentral Foundation | Smith J.J.,Southcentral Foundation | Ferucci E.D.,Alaska Native Tribal Health Consortium | Lanier A.P.,Alaska Native Tribal Health Consortium
Journal of Affective Disorders | Year: 2012

Background: Few studies have investigated depression among Alaska Native people (ANs). Depression prevalence and associated factors among EARTH Alaska study participants are described. Methods: The nine-item Patient Health Questionnaire (PHQ-9) assessed depression among 3771 ANs. Participants with PHQ-9 scores ≥10 out of 27 were classified as positive for depression. Logistic regression analyses evaluated odds of scoring positive versus negative for depression by demographic, cultural, then health and lifestyle factors. Results: Twenty percent of women and 13% of men scored positive for depression. Univariate and multivariate models were fit separately for men and women. Among demographic factors, below median income was associated with positive depression scores for both genders. Among men, odds of depression were higher if unmarried and/or if highest educational level was less than high school. Women 34 to 59 years of age had increased odds of scoring positive. Little or no identification with tribal tradition was associated with increased odds of depression in women and decreased odds in men. For both genders, chronic physical conditions and poorer self-reported health were associated with positive depression scores then binge alcohol drinking and current tobacco use increased odds of depression among women only. Limitations: Factors analyzed were self-reported without clinician follow-up in a non-random convenience sample of adults. Conclusions: Depression is common among ANs with rates comparable to other indigenous cross-sectional investigations. Depression is associated with lower income and poorer physical health. Prevention and intervention efforts should consider gender as other associated factors varied between men and women. © 2011 Elsevier B.V. All rights reserved.


Trademark
Southcentral Foundation | Date: 2014-08-07

Downloadable publications, namely education, training materials, training facilitator guides, hand-outs, articles, abstracts, presentations, reference guides and books in the fields of fields of health care systems and models of care, medical practice and practice management, health, wellness, and healing, health facility design, data management, human resources, health education, leadership, mentoring and health care costs, delivery and outcomes; downloadable video recordings in the fields of fields of health care systems and models of care, medical practice and practice management, health, wellness, and healing, health facility design, data management, human resources, health education, leadership, mentoring and health care costs, delivery and outcomes. Printed publications, namely manuals, education, training materials, training facilitator guides, hand-outs, articles, abstracts, presentations, reference guides and books in the fields of fields of health care systems and models of care, medical practice and practice management, health, wellness, and healing, health facility design, data management, human resources, health education, leadership, mentoring and health care costs, delivery and outcomes. Educational services, namely conferences, classes, video conferences, teleconferences, webinars, providing instruction, and providing information via the web all in the fields of health care systems and models of care, medical practice and practice management, health, wellness, and healing, health facility design, data management, human resources, health education, leadership, mentoring and health care costs, delivery and outcomes, distribution of course material in connection therewith; arranging and conducting educational site visits and guided tours of health care facilities.


Trademark
Southcentral Foundation | Date: 2014-08-07

Downloadable publications, namely articles and fact sheets in the field of health care systems and models of care, medical practice, and health care costs, delivery and outcomes. Educational services, namely conferences, classes, video conferences, webinars, providing instruction, and providing information via the web all in the field of health care systems and models of care, medical practice, health care costs, delivery and outcomes.


Trademark
Southcentral Foundation | Date: 2014-08-07

Software programs provided to others via CD-Rom featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes; downloadable software programs featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes. Printed publications, namely, manuals, education and training materials in the fields of fields of health care systems and models of care, medical practice, and health care costs, delivery and outcomes. Hosted software solutions made available via a web site portal featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes.


Trademark
Southcentral Foundation | Date: 2014-08-07

Downloadable publications, namely, articles and fact sheets in the field of health care systems and models of care, medical practice, and health care costs, delivery and outcomes. Printed publications, namely, newsletters, workbooks and educational and training materials in the fields of health, wellness, heath care systems, and prevention of domestic violence, child abuse and child neglect prevention. Retail pharmacy services. Educational services, namely, conferences, classes, video conferences, webinars, providing instruction, and providing information via the web all in the field of health care systems and models of care, medical practice, health care costs, delivery and outcomes, health education, weight loss, smoking cessation, nutrition, wellness, parenting, childbirth; providing fitness and exercise facilities and classes. Providing information in the fields of health, wellness and nutrition; information in the field of parenting concerning the health of children; health care; dental services; medical clinics; optometry services; behavioral health services; audiology services; alternative medicine services; home health care services.


Trademark
Southcentral Foundation | Date: 2014-08-07

Software programs provided to others via CD-Rom featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes; downloadable software programs featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes. Hosted software solutions made available via a web site portal featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes.


Trademark
Southcentral Foundation | Date: 2014-08-07

Software programs provided to others via CD-Rom featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes; downloadable software programs featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes. Hosted software solutions made available via a web site portal featuring training and instruction in health care systems and models of care, medical practice and health care costs, delivery and outcomes.


Trademark
Southcentral Foundation | Date: 2014-08-07

Downloadable publications, namely, articles and fact sheets in the field of health care systems and models of care, medical practice, and health care costs, delivery and outcomes. Printed publications, namely, newsletters, workbooks and educational and training materials in the fields of health, wellness, heath care systems, and prevention of domestic violence, child abuse and child neglect prevention. Retail pharmacy services. Educational services, namely, conferences, classes, video conferences, webinars, providing instruction, and providing information via the web all in the field of health care systems and models of care, medical practice, health care costs, delivery and outcomes, health education, weight loss, smoking cessation, nutrition, wellness, parenting, childbirth; providing fitness and exercise facilities and classes. Providing information in the fields of health, wellness and nutrition; information in the field of parenting concerning the health of children; health care; dental services; medical clinics; optometry services; behavioral health services; audiology services; alternative medicine services; home health care services.

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