From: “Improving Native American elder access to and use of health care through effective health system navigation”
Promote healthcare literacy among AIEs of diverse cultural backgrounds
On individual and social support levels, AIEs/families may lack knowledge of rights and coverage options under public insurance plans, and encounter difficulties getting and understanding information to make informed decisions.
• AIE Navigators trained in applying the AIEONG.
• AIE Navigators recognize how cultural issues and aging processes affect health literacy for AIEs.
• Information on AIE rights, coverage, and health literacy.
• Strategies for making this information accessible and meaningful to AIEs.
• AIE Navigators develop accessible content regarding rights, coverage options, and implications for group presentations and one-on-one consultations with AIEs/families.
• AIE Navigators hold group presentations and one-on-one consultations with AIEs/families to share accurate information on coverage options and enrollment.
• AIEs and families know more about their rights and coverage/healthcare options.
• AIEs successfully enroll in public insurance programs.
• AIEs understand how their insurance works.
• AIEs stay insured.
• Increased use of healthcare services and decreased AIE health disparities.
• Shift in individual attitudes, beliefs, and behaviors to create a “Culture of Coverage.”
Educate staff/providers within healthcare delivery systems serving AIEs in reservation and non-reservation communities.
At organization and community levels, AIEs are likely to encounter barriers within healthcare settings, i.e., lack of knowledge among staff/providers, which can reduce AIE access to insurance and healthcare services.
• AIE Navigators trained in skills to educate staff/providers about effective outreach with AIEs.
• Information on application, eligibility determination/ enrollment processes.
• Information on cultural, organizational, and bureaucratic barriers specific to health care.
• List of resources (including training opportunities) for staff/ providers on health reform and AIE health literacy.
• AIE Navigators undertake informational outreach with staff/providers in IHS, tribally-run 638 programs, and other facilities.
• AIE Navigators educate staff/providers about common barriers, their implications for insurance/healthcare access, and processes to enroll AIEs in public insurance programs.
• AIE Navigators offer advice and/or conduct role plays with staff/providers to enhance skills in communicating and presenting health information to AIEs.
• AIE Navigators provide staff/providers with resources (e.g., training options).
• More competency and self-efficacy to engage AIEs among staff/providers.
• Increased access to resources (i.e., training and knowledge of evidence-based health literacy strategies) for staff/providers.
• Reduction in barriers most encountered by AIEs in healthcare settings.
• Enhanced response of staff/providers in healthcare systems to the unique needs of AIEs.
• More effective outreach and services to AIEs. Shift in organizational and community attitudes, beliefs, and behaviors to create a “Culture of Coverage.”
Encourage the inclusion of AIE perspectives in development of healthcare policy.
AIEs/families/OWs may lack experience in sharing feedback and input into insurance options and healthcare systems for aging AIs on the policy level.
• AIE Navigators trained to identify community-based partners (e.g., nonprofit, voluntary and professional).
• Information on AIE views and experiences with insurance and healthcare systems.
• List of strategies to remove barriers from insurance and healthcare systems among AIEs.
• List of policymakers, healthcare executives, and tribal leaders who create or manage policy regarding AIE health care.
• AIE Navigators undertake informational outreach with community partners to enlist AIE support.
• AIE Navigators create social spaces where AIEs, families, and community partners meet to share experiences and identify policy issues.
• AIE Navigators collaborate with AIEs, families, and partners to enact strategies to address policy issues.
• AIE Navigators, AIEs, families, and partners target policymakers, healthcare executives, and tribal leaders for education on insurance/healthcare issues.
• More access to support systems for AIEs and families.
• More attention to AIE-specific issues in policy formulation.
• More involvement of AIEs/families in policy development.
• Development of healthcare policy that contributes to a “Culture of Coverage,” and addresses healthcare disparities of AIEs.