Abstract
The purpose of this paper is to explore qualitatively the principal problems that Latino women face in getting health care for themselves and their families, how their experiences with the health care system affect them, and how they often overcome obstacles to get health care. Focus group and individual interviews with Latinas in a public hospital in Los Angeles County revealed that Latinas faced many challenges in getting health care for themselves and their families, and, as a result, many felt embarrassed, scolded, helpless, and discouraged from seeking care. Yet they overcame enormous obstacles to get into the system through solidarity with other Latinas, either friends or extended family, and connections with key health service personnel. These networks of care enabled Latinas to access a complicated health care system and offer lessons for providers and policy-makers concerned with improving the delivery of care to this population.
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REFERENCES
Valdez RB, Morgenstern H, Brown ER, Wyn R, Wang C, Cumberland W: Insuring Latinos against the costs of illness. JAMA 1993; 269(7):889-894
Schauffler HH, Brown ER, Rice T: The State of Health Insurance in California, 1996. Los Angeles: UCLA Center for Health Policy Research; 1997
Cousineau MR, Ng L, Pitts D, Shen SM, Wyn R, Kominski G, et al.: At Risk: Los Angeles County, the Health of Its People and Its Health System. Los Angeles: The UCLA Center for Health Policy Research; 1994
Williams MV, Parker RM, Baker DW, Parikh NS, Pitkin K, Coates WC, et al.: Inadequate functional health literacy among patients at two public hospitals. JAMA 1995; 274(21): 1677-1682
Baker DW, Parker RM, Williams MV, Coates WC, Pitkin K: Use and effectiveness of interpreters in an emergency department. JAMA 1996; 275(10):783-788
Derose KP, Baker DW: Limited English proficiency and Latinos' use of physician services. Med Care Res Rev 2000; 57:76-91
Moss N, Baumeister L, Biewener J: Perspectives of Latina immigrant women on Proposition 187. J Am Med Wom Assoc 1996; 51(4):161-165
Brown ER, Wyn R, Ojeda VD: Access to Health Insurance and Health Care for Children in Immigrant Families (Report No. R99-3). Los Angeles: UCLA Center for Health Policy Research; 1999
Leslie J. Women's work and child nutrition in the third world. World Dev 1988; 16(11):1341-1362
Pitkin K, Bedoya R: Women's multiple roles in economic crisis: constraints and adaptation. Latin Am Perspect 1997; 24(4):34-49
Serrano C. Mujeres de sectores populares urbanos en Santiago de Chile. In Neuma A, ed. Mujer y crisis: Respuestas ante larecesioón. Rio De Janeiro: Dawn/Mudar; 1990
Yin R: Case Study Research: Design and Method. Thousand Oaks, CA: Sage; 1994
Baker DW, Parker R, Williams M, Pitkin K, Parikh N, Coates W, et al.: The health care experience of patients with low literacy. Arch Fam Med 1996; 5(June):329-334
Schur CL, Berk ML, Good CD, Gardner EN: California's Undocumented Latino Immigrants: A Report on Access to Health Care Services. Menlo Park, CA: The Henry J. Kaiser Family Foundation; 1999
Kondo A: Many patients suffer language gap. Los Angeles Times 1999 (June 22; Section A), pp. A3, A22
Cousineau MR, Brown ER, Freedman JE: Access to free care for indigent patients in Los Angeles: County policy implementation and barriers to care. J Ambulatory Care Manage 1987; 10(1):78-89
Perkins J, Simon H, Cheng F, Olson K, Vera Y: Ensuring Linguistic Access in Health Care Settings: Legal Rights and Responsibilities. Menlo Park, CA: Henry J. Kaiser Family Foundation; 1998
Chang P, Fortier JP: Language barriers to health care: An overview. J Health Care Poor Underserved 1998; 9(Suppl):S5-S25
Butler PA: Medicaid HMO enrollees in the emergency room: Use of nonemergency care. Med Care Res Review 1998; 55(1):78-98
Goldman A: A hidden advantage for some job seekers. Los Angeles Times 1997 (November 28; Section A), pp. A1, A56
Hagan JM: Social networks, gender, and immigrant incorporation: Resources and constraints. Am Sociol Rev 1998; 63(February): 55-67
Eng E, Parker E, Harlan C: Lay health advisor intervention strategies: A continuum from natural helping to paraprofessional helping. Health Educ Behav 1997; 24(4):413-417
Warrick LH, Wood AH, Meister JS, de Zapien JG: Evaluation of a peer health worker prenatal outreach and education program for Hispanic farmworker families. J Commun Health 1992; 17(1):13-26
Watkins EL, Harlan C, Eng E, Gansky SA, Gehan D, Larson K: Assessing the effectiveness of lay health advisors with migrant farmworkers. Fam Commun Health 1994; 16(4):72-87
Sherer JL: Neighbor to neighbor: Community health workers educate their own. Hosp Health Netw 1994 (October):52-56
Staunton AD: Women's health advocacy: A qualitative study of community health work among Latina immigrants in East Los Angeles, Dissertation, University of California, Los Angeles; 1999
Patton S: Empowering women: Improving a community's health. Nurs Manage 1995; 26:36-37, 41
Cousineau MR, Ng L, Wyn R, Brown ER: Los Angeles' Health Safety Net Is Threatened. (Report No. PB 95-1). Los Angeles: UCLA Center for Health Policy Research, 1995
Friedman E: California public hospitals: The buck has stopped. JAMA 1997; 277(7):577-581
Wulsin L, Djavaheri S, Frates J, Shofet A: Clinics, Counties, and the Uninsured: A Study of Six California Urban Counties. Alliance Healthcare Foundation and the California Wellness Foundation; 1999
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Derose, K.P. Networks of Care: How Latina Immigrants Find Their Way to and through a County Hospital. Journal of Immigrant Health 2, 79–87 (2000). https://doi.org/10.1023/A:1009533901752
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DOI: https://doi.org/10.1023/A:1009533901752