TY - JOUR A1 - Sequist, T.D. A1 - Cullen, T. A1 - Bernard, K. A1 - Shaykevich, S. A1 - Orav, E.J. A1 - Ayanian, J.Z. T1 - Trends in quality of care and barriers to improvement in the Indian Health Service Y1 - 2011 DO - 10.1007/s11606-010-1594-4 VL - 26 IS - 5 ER -