EMS Service Integration in American Indian and Native Alaskan Rural Communities.

AMA journal of ethics · 2025-07-01 · Other / unclear

Abstract

This article outlines several initiatives to optimize and expand emergency medical services (EMS) in American Indian and Native Alaskan (AI/NA) rural communities. It highlights the significance of cultural humility, cost-effectiveness, equity, and tribal sovereignty in EMS licensure and describes key infrastructure improvements (eg, roads and communication systems) to EMS responsiveness in AI/NA rural communities. This article also examines practical and financial strategies for integrating telehealth and drone-based delivery of critical medicines into rural EMS response capacity.

Tags

Cost & cost-effectiveness · Equity & disparities · Rural & remote · Telemedicine · Socially vulnerable groups