Indian Health Service Training Center, Training Course TC-72-2 (April 17-May 5, 1972): Pueblo de Santa Clara - A Description of the Perceived Health Needs of the People of Santa Clara Pueblo and the Management Processes Involved in the Delivery of Health Services to Them.

Members of the Health Services Management class conducted a descriptive study of the perceived health problems of the people of Santa Clara Pueblo and the management processes involved in the delivery of health services to them. Data were obtained from personal interviews with 38 Tribal members, 9 officals, 6 employees working primarily in the health delivery field; 15 Service Unit employees; and 1 Health Board member. Information was also obtained from analyses of contracts between the Tribe and other Federal agencies, and of position descriptions and organizational charts of the Service Unit. Findings included: in the delivery of health services, the majority of those interviewed stated that the physician was the key resource; Tribal members were concerned about lack of personnel and lack of permanent personnel; consumers felt they had little influence on the health care system; all groups mentioned alcoholism and chronic diseases as important problems; as a primary resource, the use of the Community Health Representative was perceived differently by Service Unit personnel than by the other groups; transportation was most frequently mentioned by all groups as the least important health service; sanitation was most frequently mentioned as the most satisfactory health service; Tribal members indicated that emergency care, personnel, and facilities were the most important health services; Service Unit personnel identified health education and preventive medicine as the two most important health services. (NQ)