Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Draft Literature Review - Revised Report. III.3 Implications for Review of the Literature


The lack of consistent and comparable program data, the relatively small AI/AN population that makes most national survey databases inadequate for study of this population, the problem of inadequate identification of AI/AN race that calls into question data that are available, and the complexity of defining the potential eligible program population are all major obstacles to designing and conducting a reliable quantitative evaluation of Tribal management of health and social services programs. In the following two sections of this report, research and evaluation studies of Tribally-managed programs are reviewed and assessed to ascertain the extent to which some studies have been able to address these challenges and provide findings that are informative and useful in understanding the effects of Tribal management of health and social service programs.