@article{Sequist2011, author = {Sequist, T.D. and Cullen, T. and Bernard, K. and Shaykevich, S. and Orav, E.J. and Ayanian, J.Z.}, title= {Trends in quality of care and barriers to improvement in the Indian Health Service}, year = {2011}, doi = {10.1007/s11606-010-1594-4}, volume = {26}, number = {5}, pages = {480--486}, }