Résumé :
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[BDSP. Notice produite par INIST-CNRS lY14R0x0. Diffusion soumise à autorisation]. Native Americans served by the Aberdeen, Billings, and Bemidji areas of the Indian Health Service (IHS) have a cancer mortality rate approximately 40% higher than that of the overall US population. The National Cancer Institute has funded Rapid City Regional Hospital to provide clinical trials, behavioral research, a genetic protocol, patient navigator services (assisting patients with health care coordination and financial issues and helping them to understand their options), and community education for members of 3 western South Dakota tribes. Challenges faced by the project included obtaining multiple approvals from 3 tribes, 4 IHS facilities, and 5 institutional review boards ; travel distances ; lack of screening ; red tape of referrals : and refusal by some payers to cover clinical trials. Building trust through ongoing communication and community presence is key to a successful project.
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