Tribal colleges and universities are working in their communities to identify factors that negatively impact health and are training the next generation of healthcare workers to deal with them. And they are making a difference--not just in the lives of their students, but in the lives of future patients.

Examined perceptions of Montana residents regarding health, health needs, and health care services. Respondents defined health in relation to ability to function and work; pain appeared less important in determining the rural person's notion of health. Self-reliance and self-help were used to cope with illness; family and friends were relied upon…