Objectives
For underserved Asian Americans, Native Hawaiians, and Other Pacific Islanders (AA&NHOPIs) at community health centers, enabling services, such as interpretation, and eligibility assistance, are critical for access to appropriate care. However, little or no data exist nationally on the need, utilization, and impact of enabling services. This study seeks to examine the utilization and impact of enabling services among underserved AA&NHOPI patients served at four community health centers.
Methods
This project developed a uniform model for collecting enabling services data and implemented it across four health centers primarily serving AA&NHOPIs. We also examined differences in patient characteristics between enabling services users and non-users.
Results
The data showed that health center patients used many enabling services, with eligibility assistance being the most used. In addition, enabling services users compared to non-users are more likely to be older, female, AA&NHOPI, and uninsured (p<.05).
Conclusions
This project is the first to examine uniform enabling services data across multiple health centers serving underserved AA&NHOPIs. More enabling services data and evaluation are needed to develop interventions to improve quality of care for underserved AA&NHOPIs.
Infection with the hepatitis B virus (HBV) is a significant public health concern in the US, disproportionately affecting Americans of Asian, Native Hawaiian and Pacific Islander descent, despite the availability of a simple blood test, approved treatments, and an effective vaccine. Hep B United, a national campaign to support and leverage the success of community-based HBV coalitions, convened a partner summit in 2012 to develop a strategic response to the HHS Action Plan for the Prevention, Care, and Treatment of Viral Hepatitis. The resulting community action plan focuses on advancing three areas of the HHS plan: educating providers and communities to reduce health disparities; improving testing and linkage to care to prevent HBV-related liver disease and cancer; and eliminating perinatal HBV transmission.
This project complements federal efforts to identify medically underserved health service areas and identifies U.S. counties that need new or expanded health services for medically underserved AAPIs.
The "Know Hepatitis B" campaign was the first national, multilingual communications campaign to promote testing for hepatitis B virus (HBV) among Asian Americans and Pacific Islanders (AAPIs). This population comprises fewer than 5% of the total U.S. population but accounts for more than half of the up to 1.4 million Americans living with chronic HBV infection. To address this health disparity with a national campaign, CDC partnered with Hep B United, a national coalition of community-based partners working to educate AAPIs about hepatitis B and the need for testing. Guided by formative research, the "Know Hepatitis B" campaign was implemented in 2013 with a twopronged communications strategy. CDC used available Chinese, Korean, and Vietnamese media outlets on a national level and relied on Hep B United to incorporate campaign materials into educational efforts at the local level. This partnership helped facilitate HBV testing among the priority population.
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