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GAO Survey Questionnaire

42. If you have comments about any of the questions in this questionnaire or about P.L. 93-638 in general please make them here. (19)

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Appendix II

Analysis Plan for Questions 33 and 34 of Questionnaire

We identified 14 different health services and asked the respondents to provide information on how they were getting a particular service. Additionally, we identified seven different sources for providing the health services. For the analysis of how tribes and organizations would like to see health services delivered, we grouped the seven sources as follows:

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Additionally, for a responding tribe or organization to be considered to be receiving a service through "IHS delivery," it could not have checked any of the "participate in self-determination" categories. However, if a tribe or organization stated that it received a particular service both through "IHS delivery" and "participate in self-determination," it was considered as receiving the service through "participating in selfdetermination." For example, if a responding tribe stated it was receiving inpatient care through an IHS non-Public Law 93-638 contract and its own funds, for our analysis we considered the tribe's source of inpatient care to be "IHS delivery." Additionally, if the tribe said it received outpatient care from IHS directly and through a Public Law 93638 contract, we considered that the source for outpatient care was from the tribe "participating in self-determination" since it was responsible for at least a portion of outpatient services.

Appendix III

Advance Comments From the Department of Health and Human Services

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