Community Health Center Access to Resources for their Patients with Diabetes
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Community health center providers and staff access to resources for their Latino and non-Latino patients with diabetes is unknown. We analyzed survey data from 577 community health center providers and staff who manage diabetes from 85 sites across 10 Midwestern states. Respondents were labeled as high proportion (HP) providers if >25 % of their site’s diabetes population was Latino. HP providers were more likely than non-HP providers to have access to physician’s assistants (71 vs. 58 %) and certified diabetes educators (61 vs. 51 %), but less access to endocrinologists (25 vs. 35 %) (p < 0.05). HP providers had greater access to Spanish-speaking providers (48 vs. 26 %), on-site interpreters (83 vs. 59 %), culturally tailored diabetes education programs (64 vs. 26 %), and community outreach programs (77 vs. 52 %) (p < 0.05). Providers at HP sites reported greater access to a range of personnel and culturally tailored programs. However, increased access to these services is needed across all sites.
- Centers for Disease Control and Prevention. Diabetes Report Card 2012. Atlanta: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2012.
- United States Census Bureau. The Hispanic population: 2010—census briefs. Washington: United States Census Bureau; 2011.
- Forrest CB, Whelan EM. Primary care safety-net delivery sites in the United States: a comparison of community health centers, hospital outpatient departments, and physicians’ offices. JAMA. 2000;284(16):2077–83. CrossRef
- National Association of Community Health Centers. Serving patients with limited English proficiency: results of a community health center survey. Bethesda: National Association of Community Health Centers; 2008.
- Peek ME, Cargill A, Huang ES. Diabetes health disparities: a systematic review of health care interventions. Med Care Res Rev. 2007;64(5 suppl):101S–56S. CrossRef
- Baig AA, Wilkes AE, Davis AM, et al. The use of quality improvement and health information technology approaches to improve diabetes outcomes in African American and Hispanic patients. Med Care Res Rev. 2010;67(5 Suppl):163S–97S. CrossRef
- Karliner LS, Jacobs EA, Chen AH, Mutha S. Do professional interpreters improve clinical care for patients with limited English proficiency? a systematic review of the literature. Health Serv Res. 2007;42(2):727–54. CrossRef
- Moreno G, Tarn D, Morales L. Impact of interpreters on the receipt of new prescription medication information among Spanish-speaking Latinos. Med Care. 2009;47(12):1201–8. CrossRef
- Ku L, Flores G. Pay now or pay later: providing interpreter services in health care. Health Aff (Millwood). 2005;24(2):435–44. CrossRef
- Chin MH, Walters AE, Cook SC, Huang ES. Interventions to reduce racial and ethnic disparities in health care. Med Care Res Rev. 2007;64(5 Suppl):7S–28S. CrossRef
- Grumbach K, Chen E. Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged students. JAMA. 2006;296(9):1079–85. CrossRef
- U.S. Department of Health and Human Services. Office of Minority Health. National Standards for culturally and linguistically appropriate services in health care—final report. March 2001. Washington: U.S. Department of Health and Human Services; 2001.
- Gusmano MK, Fairbrother G, Park H. Exploring the limits of the safety net: community health centers and care for the uninsured. Health Aff (Millwood). 2002;21(6):188–94. CrossRef
- Community Health Center Access to Resources for their Patients with Diabetes
Journal of Immigrant and Minority Health
Volume 16, Issue 3 , pp 553-558
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- Springer US
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- Community health centers
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- Author Affiliations
- 1. Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave. MC 2007, Chicago, IL, 60637, USA
- 2. College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
- 3. MidWest Clinicians’ Network, Lansing, MI, USA
- 4. University of Evansville, Evansville, IN, USA
- 5. North Dakota State University, Fargo, ND, USA
- 6. Department of Health Studies, University of Chicago, Chicago, IL, USA
- 7. Department of Pediatric Endocrinology, University of Illinois at Chicago, Chicago, IL, USA
- 8. Community Action Partnership of Western Nebraska, Gering, NE, USA