A Program to Improve Access to Health Care Among Mexican Immigrants in Rural Colorado

Diaz-Perez, Maria de Jesus; Farley, Tillman; Cabanis, C.

doi:10.1111/j.1748-0361.2004.tb00037.x

Cited by 45 publications

(30 citation statements)

References 9 publications

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“…2, 5, 28–30 To our knowledge, this is the first study to evaluate the clinics’ impact on health outcomes. Hypertension is theoretically very manageable, but nationally only one in two people diagnosed with the condition has it under control.…”

Section: Discussionmentioning

confidence: 99%

Mobile Clinic In Massachusetts Associated With Cost Savings From Lowering Blood Pressure And Emergency Department Use

Song

Hill

Bennet³

et al. 2013

Health Affairs

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Mobile health clinics are in increasingly wide use, but evidence of their clinical impact or cost-effectiveness is limited. Using a unique data set of 5,900 patients who made a total of 10,509 visits in 2010–12 to the Family Van, an urban mobile health clinic in Massachusetts, we examined the effect of screenings and counseling provided by the clinic on blood pressure. Patients who presented with high blood pressure during their initial visit experienced average reductions of 10.7 mmHg and 6.2 mmHg in systolic and diastolic blood pressure, respectively, during their follow-up visits. These changes were associated with 32.2 percent and 44.6 percent reductions in the relative risk of myocardial infarction and stroke, respectively, which we converted into savings using estimates of the incidence and costs of these conditions over thirty months. The savings from this reduction in blood pressure and patient-reported avoided emergency department visits produced a positive lower bound for the clinic’s return on investment of 1.3. All other services of the clinic—those aimed at diabetes, obesity, and maternal health, for example—were excluded from this lower-bound estimate. Policy makers should consider mobile clinics as a delivery model for underserved communities with poor health status and high use of emergency departments.

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Section: Discussionmentioning

confidence: 99%

Mobile Clinic In Massachusetts Associated With Cost Savings From Lowering Blood Pressure And Emergency Department Use

Song

Hill

Bennet³

et al. 2013

Health Affairs

View full text Add to dashboard Cite

show abstract

“…Access to health care improves health outcomes and reduces hospitalization for many conditions (Carcillo, Diegel, Bartman, Guyer, & Kramer, 1995; Diaz-Perez, Farley & Cabanis, 2004; Piette, 2000; Sin, Bell, & Man, 2004), yet data on how institutional-level factors affect health care access among Latinos and how they influence diabetes self-management practices are lacking. The health care environment may have an effect on individuals' ability to adhere to self-management treatments via insurance policies, linguistically congruent and culturally competent providers, transportation access to care, and the number of available providers in an area.…”

Section: Institutional-level Influences and Diabetes Self-management mentioning

confidence: 99%

The Limits of Self-Management: Community and Health Care System Barriers Among Latinos With Diabetes

Lopez-Class

Jurkowski

2010

Journal of Human Behavior in the Social Environment

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Although numerous studies examine diabetes self-care, few regard ecological framework correlates such as community and institutional level factors as fundamental for understanding diabetes management for Latinos. This article addresses the dearth of research that exists regarding social contextual forces and diabetes management for Latinos. Given the scarcity of research on this topic, studies of non-Latino groups were reviewed to illustrate the importance of community and institutional influences on diabetes care. Consideration of fundamental correlates within the ecological framework may better discern the underlying rationale for inadequate diabetes self-management for individuals who live in impoverished communities.

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“…Given the importance of religion in Latino culture (Musgrave, Allen, & Allen, 2002), churches may also be especially opportune sites for diabetes screening, especially those that have parish nurses (Mendelson, McNeese-Smith, Koniak-Griffin, Nyamathi, & Lu, 2008). For Latinas in rural areas, screening may be most accessible when using a mobile delivery approach tailored to their needs (Diaz-Perez, Farley, & Cabanis, 2004). In addition, there are many Latinas and other adult women who visit a dentist during a given year, including many who do not visit a general health care provider (Strauss, Alfano, Shelley, & Fulmer, 2012).…”

Section: Discussionmentioning

confidence: 99%

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Strauß

Vega²,

Clayton-Jeter

et al. 2014

Hisp Hlth Care Int

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For Latinas with fasting plasma glucose (FPG) levels in the pre-diabetes and diabetes ranges, early detection can support steps to optimize their health. Data collected in 2009-2010 indicate that 36.7% of Latinas in the U.S. had elevated FPG levels. Latinas with elevated FPG who were unaware of their diabetes status were significantly less likely than non-Hispanic White and nonHispanic Black women to have seen a health care provider in the past year (75.8%, 92.9%, and 90.2%, respectively; p = .018). With almost 1 million Latinas in the U.S. with elevated FPG unaware of their diabetes risk, and less likely than other at-risk women to see health care providers, there is an urgent need to establish alternate sites of opportunity for their diabetes screening.

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A Program to Improve Access to Health Care Among Mexican Immigrants in Rural Colorado

Abstract: A community-based mobile outreach program targeted toward Mexican immigrants can be effective in uncovering medical and mental illness and in directing patients to a health care home. This is an important first step in eliminating health disparities among this population.

Cited by 45 publications

References 9 publications

Mobile Clinic In Massachusetts Associated With Cost Savings From Lowering Blood Pressure And Emergency Department Use

Mobile Clinic In Massachusetts Associated With Cost Savings From Lowering Blood Pressure And Emergency Department Use

The Limits of Self-Management: Community and Health Care System Barriers Among Latinos With Diabetes

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

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