Display options
Cite
Valdez RB, Giachello A, Rodriguez-Trias H, et al. Improving access to health care in Latino communities. Public Health Rep. 1993;108(5):534-9
Valdez, R. B., Giachello, A., Rodriguez-Trias, H., Gomez, P., & de la Rocha, C. (1993). Improving access to health care in Latino communities. Public health reports (Washington, D.C. : 1974), 108(5), 534-9.
Valdez, R B, et al. "Improving access to health care in Latino communities." Public health reports (Washington, D.C. : 1974) vol. 108,5 (1993): 534-9.
Valdez RB, Giachello A, Rodriguez-Trias H, Gomez P, de la Rocha C. Improving access to health care in Latino communities. Public Health Rep. 1993 Sep-Oct;108(5):534-9. PMID: 8416110; PMCID: PMC1403427.
Copy Download .nbib Format: NLM
Share it on

Public Health Rep. 1993 Sep-Oct;108(5):534-9.

Improving access to health care in Latino communities.

Public health reports (Washington, D.C. : 1974)

R B Valdez, A Giachello, H Rodriguez-Trias, P Gomez, C de la Rocha

Affiliations

  1. School of Public Health, UCLA 90024-1772.

PMID: 8416110 PMCID: PMC1403427

Abstract

Public debate about health care reform often focuses on the need for health insurance coverage, but in Latino communities many other barriers also inhibit access to medical care. In addition, basic public health services often go underfunded or ignored. Thus, health care reform efforts, nationally and in each State, must embrace a broader view of the issues if the needs of Latino communities are to be served. This report reviews and summarizes information about the mounting problems Latino communities face in gaining access to medical care. Access to appropriate medical care is reduced by numerous financial, structural, and institutional barriers. Financial barriers include the lack of health insurance coverage and low family incomes common in Latino communities. More than 7 million Latinos (39 percent) go without health insurance coverage. Latinos without health insurance receive about half as much medical care as those who are insured. Structurally, the delivery system organization rarely reflects the cultural or social concerns of the communities where they are located. Therefore, providers and patients fail to communicate their concerns adequately. These communication problems are exacerbated by the extreme shortage of Latino health care professionals and other resources available. Institutional barriers often reflect the failure to consider what it means to provide good service as well as high-quality medical care. Reducing these barriers to medical care requires modifying governmental and institutional policies, expanding the supply of competent providers, restructuring delivery system incentives to ensure primary care and public health services, and enhancing service and satisfaction with care.

References

  1. J Health Soc Behav. 1973 Sep;14(3):205-13 - PubMed
  2. Am J Public Health. 1990 Dec;80 Suppl:11-9 - PubMed
  3. Am J Public Health. 1978 Oct;68(10):1017-9 - PubMed
  4. Med Care. 1980 Mar;18(3):267-81 - PubMed
  5. J Health Soc Behav. 1981 Mar;22(1):78-89 - PubMed
  6. JAMA. 1985 Dec 20;254(23):3344-8 - PubMed
  7. Public Health Rep. 1986 May-Jun;101(3):238-52 - PubMed
  8. Am J Public Health. 1989 Jun;79(6):692-7 - PubMed
  9. Health Serv Res. 1989 Jun;24(2):237-57 - PubMed
  10. J Appl Gerontol. 1989 Mar;8(1):86-96 - PubMed
  11. Epidemiol Bull. 1989;10(1):1-8 - PubMed
  12. JAMA. 1991 Jan 9;265(2):227-32 - PubMed
  13. JAMA. 1991 Jan 9;265(2):233-7 - PubMed
  14. JAMA. 1993 Feb 17;269(7):889-94 - PubMed
  15. Med Care. 1977 May;15(5 SUPPL):93-101 - PubMed

MeSH terms

Publication Types