Journal of Immigrant and Minority Health
Volume 16, Issue 3, 2014, Pages 553-558

Community health center access to resources for their patients with diabetes (Article)

Baig A.A.* , Locklin C.A. , Campbell A. , Schaefer C.T. , Heuer L.J. , Lee S.M. , Solomon M.C. , Quinn M.T. , Vargas J.M. , Burnet D.L. , Chin M.H.
  • a Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637, United States
  • b College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
  • c MidWest Clinicians' Network, Lansing, MI, United States
  • d MidWest Clinicians' Network, Lansing, MI, United States, University of Evansville, Evansville, IN, United States
  • e MidWest Clinicians' Network, Lansing, MI, United States, North Dakota State University, Fargo, ND, United States
  • f Department of Health Studies, University of Chicago, Chicago, IL, United States
  • g Department of Pediatric Endocrinology, University of Illinois at Chicago, Chicago, IL, United States
  • h Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637, United States
  • i Community Action Partnership of Western Nebraska, Gering, NE, United States
  • j Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637, United States
  • k Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637, United States

Abstract

Community health center providers and staff access to resources for their Latino and non-Latino patients with diabetes is unknown. We analyzed survey data from 577 community health center providers and staff who manage diabetes from 85 sites across 10 Midwestern states. Respondents were labeled as high proportion (HP) providers if >25 % of their site's diabetes population was Latino. HP providers were more likely than non-HP providers to have access to physician's assistants (71 vs. 58 %) and certified diabetes educators (61 vs. 51 %), but less access to endocrinologists (25 vs. 35 %) (p<0.05). HP providers had greater access to Spanish-speaking providers (48 vs. 26 %), on-site interpreters (83 vs. 59 %), culturally tailored diabetes education programs (64 vs. 26 %), and community outreach programs (77 vs. 52 %) (p<0.05). Providers at HP sites reported greater access to a range of personnel and culturally tailored programs. However, increased access to these services is needed across all sites.

Author Keywords

Latino diabetes Services Community health centers

Index Keywords

Health Personnel Community Health Services community care health care personnel nonparametric test Statistics, Nonparametric human middle aged statistics and numerical data diabetes mellitus comparative study Aged Hispanic Americans program development Cross-Sectional Studies Surveys and Questionnaires Community Health Centers United States cross-sectional study Humans Hispanic chi square distribution male Chi-Square Distribution female questionnaire organization and management program evaluation adult health center Health Services Accessibility Midwestern United States health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904723546&doi=10.1007%2fs10903-013-9775-y&partnerID=40&md5=3586ff8097cc28ca8f5ad7ad8d7d57b4
DOI: 10.1007/s10903-013-9775-y
ISSN: 15571912
Cited by: 3
Original Language: English