Overcoming Barriers to Health Care Access in Rural Latino Communities: An Innovative Model in the Eastern Coachella Valley

Tulimiero, Monica; Garcia, Michael L.; Rodriguez, Maria; Cheney, Ann M.

doi:10.1111/jrh.12483

Cited by 26 publications

(29 citation statements)

References 43 publications

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“…Provision of services within local communities, as well as offering extended hours, are also organizational approaches found to improve access to care (139)(140)(141). In addition to helping services to be available from a logistical standpoint, organizations can foster an environment in which providers have opportunities to learn about cultural responsiveness, sources of resilience, and best practices with Latino communities (111,125,129,140).…”

Section: Discussionmentioning

confidence: 99%

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

Held

Villarreal-Otálora

McPherson

et al. 2022

Front. Public Health

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Latino communities in the United States (U.S.) have long endured trauma due to multiple intersecting social and political forces. New restrictive immigration policies since 2016 and the COVID-19 pandemic have each created novel stressors for Latino communities, while escalating the risk of mental health disorders and highlighting the communities' vulnerabilities. The effects of these stressors have been particularly pronounced in southeastern states, such as Tennessee and Georgia, due to their state-level anti-immigrant legislation. Yet, we lack sufficient data to understand how these factors present among Latinos seeking services. To focus attention on the specific experiences of Latino communities living in the U.S. Southeast, the authors analyzed the perspectives of 44 service providers working with these communities in the region using qualitative data collected in an online survey administered during the COVID-19 pandemic and while President Trump's exclusionary immigration policies were in force. Four themes were identified: (1) Latino communities' strengths; (2) impact of the Trump administration on Latino communities; (3) impact of COVID-19's on Latino communities; and (4) strategies to enhance service delivery in Latino communities. Results provide meaningful data to inform micro- and macro-level service delivery in two exclusionary policy states and beyond. Findings suggest future research should include other new immigrant destinations and explore perceptions of Latino community members.

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Section: Discussionmentioning

confidence: 99%

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

Held

Villarreal-Otálora

McPherson

et al. 2022

Front. Public Health

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“…Studies on SRCs have analyzed the quality of patient care, including patient satisfaction and clinical outcomes [11][12][13][14]. Similarly, prior studies have investigated how effectively SRCs address access to care, cost of care, and other socioeconomic barriers to quality health care [15][16][17][18][19][20]. Smith et al found that clinical outcomes for diabetic patients treated at the University of California San Diego Student-Run Free Clinic met or exceeded standards compared to other studies [12].…”

Section: Introductionmentioning

confidence: 99%

Impact of Medical Student Participation in Student-Run Clinics on Education, Residency Selection, and Patient Care: A Review of Selected Articles

McCray¹,

Atkinson²,

McCray³

et al. 2022

Cureus

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Student-run clinics (SRCs) are becoming increasingly popular at medical schools in the United States. These clinics have provided a variety of benefits, including serving disadvantaged populations and providing early clinical exposure for students. There has been no consensus on the impact of SRCs on medical education, specialty selection, and patient care. This review provides a thorough overview of student and patient outcomes as a function of medical students volunteering at SRCs. We queried PubMed for original literature published in English between the years 2000 and 2020. Inclusion criteria included primary research articles evaluating the impact of medical student participation in SRCs on education, specialty selection, and patient care. All articles included in the final review were agreed upon by three reviewers, and the pertinent data were extracted. Of 10,200 initial search results, seven papers were included in this review. These included two studies evaluating medical education, five studies evaluating residency selection, and three studies analyzing patient care. Three studies were included in multiple evaluations. The relationship between volunteering at SRCs and academic performance is unclear. Clinic volunteers had increased retention of empathy compared to non-volunteers. Additionally, clinic volunteers provided satisfactory care as determined by patient-reported outcomes, and were not more likely to pursue primary care specialties. As SRCs are increasing in number, research into the impact on medical students and patients is necessary to understand how these clinics may affect the field of health care. It is important to further evaluate how medical student involvement in SRCs can further improve patient care and outcomes.

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“…Multiple studies have reported barriers to accessing health care among farmworkers. Many farmworkers live and work in rural areas, which present unique challenges in reaching care, such as difficulty attaining transportation to and from appointments [8][9][10]. Farmworkers, specifically those working in certain areas or crops are often immigrants, or have family members who are immigrants, and have reported fear of immigration enforcement as a barrier to accessing health care [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Determining Regional Differences in Barriers to Accessing Health Care Among Farmworkers Using the National Agricultural Workers Survey

Soto

Yoder

Aceves

et al. 2022

J Immigrant Minority Health

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Farmworkers are an essential workforce in the U.S. We assessed the regions in the National Agricultural Workers Survey on the difficulty of accessing health care among farmworkers in the U.S. The study included 9577 farmworkers. Farmworkers in all regions were more likely to report having difficulty accessing health care because it was too expensive. The overall odds ratio for difficulty accessing health care was lower in the MW after adjusting. Farmworkers employed in the SE had greater difficulty accessing health care because of language barriers. Farmworkers employed in CA had difficulty accessing health care in the U.S. because it was too expensive or far away. Results follow previous studies on barriers to access health care among the farmworker population. Understanding regional disparities in the presence of barriers to accessing health care among farmworkers is an essential step to improving equitable health care access in the U.S.

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Overcoming Barriers to Health Care Access in Rural Latino Communities: An Innovative Model in the Eastern Coachella Valley

Abstract: Acknowledgments: We thank Maria "Conchita" Pozar for her engagement of the community, the promotoras who built trust with participants, and the volunteer students and health care providers who are committed to serving rural patients.

Cited by 26 publications

References 43 publications

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

Impact of Medical Student Participation in Student-Run Clinics on Education, Residency Selection, and Patient Care: A Review of Selected Articles

Determining Regional Differences in Barriers to Accessing Health Care Among Farmworkers Using the National Agricultural Workers Survey

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