Reaching the Underserved RaeJeanne Guizar Dixie State University Community Assessment Latinos are a minority group that experiences socioeconomic disparities According to 2009 US Census data Hispanics had the lowest rate of insurance coverage of any other US racial or ethnic group ID: 485339
Download Presentation The PPT/PDF document "Community Project" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Community ProjectReaching the Underserved
RaeJeanne Guizar
Dixie State UniversitySlide2
Community AssessmentLatinos are a minority group that experiences socioeconomic disparities
According to 2009 U.S. Census data, Hispanics had the lowest rate of insurance coverage of any other U.S. racial or ethnic group
only 39.6% of Mexicans had private insurance coverage (Ennis, Rios-Vargas, & Albert, 2011)
Hispanics had more preventable hospitalizations than the minority group (CDC, 2012).
Hispanic teens had higher rates of obesity than white and black teens (CDC, 2012)Slide3
Identification of NeedsProvide teaching about ways to obtain health care
Offer information about ways to improve health that can be accomplished as a complement to, or even in the lack of, health insurance and access to primary care
Specific needs: access to healthcare
Specific disorders: cardiovascular disease and obesity
Cardiovascular disease is the leading cause of death for
L
atino women, and the second leading cause of death for Latinos overall (CDC, 2012). Slide4
Plan of ActionLatino Health Access, a successful informatory and action-based community health program in California, suggests that has been successful in improving outcomes based on interventions that target people anywhere from garages to churches
Community based intervention designed to reach people where they are
I went out into the community to talk with people and offer them resources they can use
Goal: improve access to healthcare and knowledge to improve lifestyle choicesSlide5
Healthy People 2020Topic from Healthy People 2020: Access to Health Service
Objective: As stated by Healthy People 2020 (2013), an objective is to “Reduce
the proportion of persons who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription
medicines” (web).
As previously stated, Latinos had a disproportionate rate of preventable hospitalizations. This data, paired with low insurance rates, shows a need for better education and access to care.Slide6
ImpactAccording to Perez, a professor of Public Health at Nova Southeastern University (n.d.),
“Lack
of access to primary and preventative care
results
in higher use of unnecessary emergency
room
services, higher health care costs and poor
quality
of
care” (web).Slide7
Research on Healthcare OptionsIdentified key sources of care and alternatives for Latinos without health insurance
Examples:
Dr.’s Volunteer Clinic: Offers medical, dental, and general services to families without health insurance who are 150% below the poverty line.
InstaCare: Even when families don’t have insurance, this option is significantly cheaper than an E.R. visit. Slide8
Educational MaterialPamphlet developed to provide informational material on addressing healthcare concerns:
Cardiovascular disease: Statistics and lifestyle recommendations
Information on symptoms of a cardiac emergency presented
Encouraged to change modifiable risk factors, such as blood pressure and weight
This, in turn, also decreases risks for diabetes and obesity as readers taught to maintain a healthy weight, follow a healthy diet, exercise regularly, and participate in health screeningsSlide9
Access to CareInformation on when to attend which healthcare providers was provided:
i.e. when to choose an InstaCare as opposed to E.R.
Contact information provided to improve access to care providers
Resources identified: Information websites, provided in Spanish, were listed to offer further healthcare informationSlide10
Brochure:Tri-fold side a
SpanishSlide11
Brochure:Tri-fold side a
EnglishSlide12
Brochure:Tri-fold
side
b
SpanishSlide13
Brochure:
Tri-fold side b
EnglishSlide14
DistributionInformation was presented on a personal level
Conversational approach used
Each person or family given a brochure
Spanish was primarily used in conversation; brochures offered in Spanish
Similarly to Latino Health Access (2012), local venues such as the Three Amigos Market, were used as platforms (with establishment consent)
Many venues allowed extra brochures to be put on display for continued public accessSlide15
Communication ConsiderationsBecause a focus was placed on communication and sincerity, most conversations were not photographed
The focus was kept on the individual and the distraction of photography was avoided
Concern: asking local residents for multiple photographs may result in mistrust regarding motives, or impair communicationSlide16
Implementation
Distributing brochures at a local parkSlide17
Local Laundromat Latino Health Access (2012) suggested using
Laundromats
for an access point
. Brochures were distributed at the above location.Slide18
Increase Reach
Although many brochures were distributed to people directly, several were put on display at various public locations so that people could continue to access them. Slide19
Educational materials at a local establishment:
Networking promoted education and communication. Slide20
More ways this community was reached:Local Market
Three Amigos Market: Caters to Latino population.
Business consented to distributing further brochures in addition to providing a platform for conversation.
Reach Out
Person-to-person contact.
Local Hangouts
Families approached while in a leisure environment (local park, Vernon
Worthen
). Slide21
Local Families Families had a positive reception to the information. This individual requested four additional brochures to give to family members not present that day. Slide22
Key PointsCommunity needs addressed through education and communication
B
rochures distributed to community members
Person-to-person contact
Communication with local businesses
Families requested extras to give to friends/extended family
Will continue to provide educational material to community members, and discuss community concerns
Focus: education.
Goal of educating community to improve community access to healthcare and address health concerns met through communication and community interactionSlide23
References
Centers for Disease Control and Prevention [CDC]. (
2012).
Observances ~ September
15
th
-
October
15
th
: Hispanic/
L
atino heritage month. Retrieved
from http://www.cdc.gov/mmwr/PDF/wk/mm5340.pdf
Ennis, S.R., Rios-Vargas, M., and Albert, N.G. (2011).
The Hispanic population: 2010.
Retrieved from http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf
Healthy People 2020. (2013).
Access to healthcare.
Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=1#56
Intermountain Healthcare. (2013).
InstaCare: Urgent care clinics.
Retrieved from
http://intermountainhealthcare.org/services/medicalgroup/clinics/instacare
/
Latino
Health Access. (2012).
Latino health access
. Retrieved from http://www.latinohealthaccess.net/
The Office of Minority Health. (2012).
Hispanic/Latino profile.
Retrieved from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=54
Perez, A.M. (n.d.).
Providing primary and preventative care to undocumented immigrants: Issues of access, quality and cost
[PowerPoint Slides]. Retrieved from http://www.oucom.ohiou.edu/hpf/pdf/PPT/A%20Perez%20Undocumented%20immigrants%20presentation%20rev.pdf