{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:00:24Z","timestamp":1785405624817,"version":"3.56.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite targeted health reforms, differences in healthcare access, utilization, and mortality have persisted between American Indian and Alaska Native (AI\/AN) and non-AI\/AN people and within the AI\/AN population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the 2015-2019 Medical Expenditure Panel Survey Household Component (MEPS-HC), we examined healthcare access, utilization, and care experiences for AI\/AN people relative to non-AI\/AN people and disaggregate the AI\/AN population by race (ie, single race and one or more races) and ethnicity (ie, Hispanic and non-Hispanic).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found that AI\/AN people had a lower probability of at least one dental and ambulatory visit annually than non-Hispanic White people. Conversely, non-Hispanic AI\/AN people were more likely than non-Hispanic White people to have at least one emergency-department (ED) visit. Non-Hispanic AI\/AN people who reported multiple races had higher rates of delayed or unmet needs due to cost than non-Hispanic White people. People solely identifying as AI\/AN reported worse care experiences, and non-Hispanic AI\/AN people rated their healthcare lower than non-Hispanic White people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings highlight the importance of efforts to improve healthcare access and care experiences of AI\/AN people and shed light on how decisions about disaggregating race and ethnicity may affect study results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxag137","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:41:18Z","timestamp":1784288478000},"source":"Crossref","is-referenced-by-count":0,"title":["Healthcare access, utilization, and care experiences for American Indian and Alaska Native populations"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3968-2064","authenticated-orcid":false,"given":"Jessica N","family":"Monnet","sequence":"first","affiliation":[{"name":"The University of New Mexico, School of Public Administration , Albuquerque, NM 87131, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2861-8526","authenticated-orcid":false,"given":"Asako S","family":"Moriya","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services, Agency for Healthcare Research and Quality , Rockville, MD 20857 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6786-4861","authenticated-orcid":false,"given":"Patricia S","family":"Keenan","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services, Agency for Healthcare Research and Quality , Rockville, MD 20857 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"2026073005145469600_qxag137-B1","author":"Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services"},{"issue":"6","key":"2026073005145469600_qxag137-B2","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1007\/s40615-020-00730-w","article-title":"Rural and urban American Indian and Alaska Native veteran health disparities: a population-based study","volume":"7","author":"Kaufman","year":"2020","journal-title":"J Racial Ethn Health Disparities."},{"issue":"11","key":"2026073005145469600_qxag137-B3","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1097\/MLR.0000000000001392","article-title":"Disparities in care experienced by American Indian and Alaska Native Medicare beneficiaries","volume":"58","author":"Martino","year":"2020","journal-title":"Med Care."},{"key":"2026073005145469600_qxag137-B4","volume-title":"National Healthcare Quality and Disparities Report","year":"2020"},{"key":"2026073005145469600_qxag137-B5","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:133703","volume-title":"Vital Statistics Rapid Release; 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