A Study of the Physician Workforce Supply for the Latino Population in California

Manetta, Alberto; Boker, John R.; Rea, J. N.; Stephens, Frances; Koehring, Nancy

doi:10.1097/acm.0b013e31802d8798

Cited by 4 publications

(5 citation statements)

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“…This indicates that patients from these groups are more likely to attend PCP practices with low performance on patient experience measures compared to Whites, possibly because these groups tend to be more residentially segregated or located in markets with low physician supply. 32,33 In order to significantly reduce disparities in patients' experiences of primary care, especially with respect to organizational access, 34,35 it will be important for performance improvement efforts to focus on low performing physician practices with high concentrations of patients from these groups. Our results indicate that Latinos and Blacks were significantly clustered in practices facing time constraints for clinical interactions and long in-office wait times.…”

Section: Discussionmentioning

confidence: 99%

Physician Effects on Racial and Ethnic Disparities in Patients’ Experiences of Primary Care

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Physician Effects on Racial and Ethnic Disparities in Patients’ Experiences of Primary Care

et al. 2008

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Section: Background and Purposementioning

confidence: 99%

“…When these background strengths combine with an understanding of minority-specific health disparities and disproportionate disease burdens, physicians tend to practice in communities with higher densities of minority patients. 34 Language and cultural barriers limit providers' ability to serve the needs of minority patients in ways that are culturally relevant. The valuing of second language fluency in admissions—especially when acquired as a first language—may therefore bring valuable cultural competence and diversity to the profession.…”

Section: Background and Purposementioning

confidence: 99%

“…Producing health care practitioners with language skills and cultural competence may lessen health inequities because the link between provider language competency and health inequities is well established. 23,34 is report will 1) describe the holistic review practices in the DPT program at California State University, Sacramento (CSUS) for weighting SED and language skills; 2) report the frequencies of qualified applicants' and matriculants' language skills, SED status, race, and ethnicity; 3) analyze the relationships among and between language skills, SED scores, and racial identities; 4) analyze the relationships between language skills, SED scores, racial identities, and acceptance into the DPT program. e purpose of this study was to strengthen the evidence-based inclusion practices in our departmental admissions processes to increase URM enrollment.…”

Section: Background and Purposementioning

confidence: 99%

“…e physical therapy program at CSUS has long considered bilingual skills to be a tangible asset in the practice of physical therapy because health care delivered by persons who are fluent in the language of the patient/clients are more effective in providing culturally competent health care services. 34,35 Students with second language fluency have been afforded a slight advantage in admissions throughout the program's history. In California, 44% of the population speaks a language other than English, with 28.7% of Californians speaking Spanish and 9.9% speaking an Asian language.…”

Section: Sociodemographicmentioning

confidence: 99%

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Admissions Holistic Review of Socioeconomic Factors Fosters Diversity in a Doctor of Physical Therapy Program

Coleman-Salgado¹

2021

JOPTE

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Background and Purpose.Holistic admissions practices may be used to increase diversity in Doctor of Physical Therapy (DPT) programs by consideration of race and ethnicity, educational disadvantaged background, low socioeconomic status, and for persons from geographically underrepresented areas. This study describes the holistic review practices in the DPT program at California State University, Sacramento (CSUS) reports the profile of socioeconomic disadvantage (SED), race, and ethnicity; analyzes the relationships between SED and racial identity; and reports acceptance rates by race and SED. The purpose of this study was to strengthen the evidence-based inclusion practices in the program's admissions processes and to offer a model to DPT programs that are seeking to assess and utilize admissions practices to increase the racial, ethnic, and socioeconomic diversity of the physical therapy profession.Case Description.The holistic review process at CSUS included weighting 4 Skills and Background Characteristics (SBCs) in determining admissions rankings that encompass the socioeconomic variables of the American Council of Academic Physical Therapy's definition of underrepresented minorities (URMs): 1) second language skills, 2) economic background, 3) educational background, and 4) environmental background. Admissions data were collected on all matriculated students in the first 8 years of the program and all qualified applicants in the last 3 years. Retrospective data analyses explored the relationships between SBC scores, race/ethnicity, and acceptance into the DPT program.Outcomes.Nearly 1 in 3 matriculants were the first in their family to graduate from college, and nearly 40% claimed a race/ethnicity other than White alone. Total SBC scores were found to be statistically significantly associated with racial identity and for underrepresented racial minorities (URRMs). Economic, educational, and environmental disadvantages were statistically significantly associated with URRMs. Acceptance into the program was found to be significantly associated with fluency and all SED variables.Discussion and Conclusion.Admissions weighting of SBC factors led to increased linguistic, socioeconomic, and racial diversity. Methods used in this study may serve as a model to other US Doctor of Physical Therapy programs that are seeking to offset the disadvantages that URMs have in gaining acceptance into physical therapist education programs. The expanded use of data-driven holistic admissions practices may contribute to the racial, ethnic, and socioeconomic diversity of the physical therapy profession.

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Addressing Health Care Needs of the Latino Community: One Medical Schoolʼs Approach

et al. 2007

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The Program in Medical Education for the Latino Community (PRIME-LC) at the University of California-Irvine (UCI) School of Medicine was designed to improve health care delivery, research, and policy in underserved Latino communities. Specialized training develops strongly committed physicians with linguistic skills and cultural understanding, enabling them to serve Latino patients. Presently, the health care system's shortage of providers with this expertise renders it unable to address the Latino community's needs adequately. The UCI School of Medicine realized they were proposing a radically different type of program at the onset of this project -- one designed to address the health care needs of a specific ethnic group. Developed with dual goals, PRIME-LC aspires to provide the Latino community with culturally sensitive, Spanish-speaking physicians who are well aware of medical and social conditions prevalent among Latinos, in addition to physicians with a broad understanding of community medicine who are well versed in advocacy and able to become leaders within and outside the Latino community. PRIME-LC must be placed within the context of predicted physician shortages in the United States attributable to the projected population increase in general and, more specifically, within the context of a growing Latino population nationwide. As medical schools prepare to increase their output, programs like PRIME-LC that address society's special needs deserve serious consideration.

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A Study of the Physician Workforce Supply for the Latino Population in California

Cited by 4 publications

References 4 publications

Physician Effects on Racial and Ethnic Disparities in Patients’ Experiences of Primary Care

Physician Effects on Racial and Ethnic Disparities in Patients’ Experiences of Primary Care

Admissions Holistic Review of Socioeconomic Factors Fosters Diversity in a Doctor of Physical Therapy Program

Addressing Health Care Needs of the Latino Community: One Medical Schoolʼs Approach

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