Expert Perspectives on Effective Community-Based Pediatric Healthcare for Low-Income Latino Families: Persistent Issues over Time
| Autor: | Diana N. Carvajal, Diana Torres-Burgos, Ruth E. Zambrana |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health (social science) Sociology and Political Science Qualitative property Article 03 medical and health sciences 0302 clinical medicine Political science Health care medicine Humans 030212 general & internal medicine Social determinants of health Child Community-based care Quality of Health Care Preventive healthcare 030505 public health business.industry Health Policy Public Health Environmental and Occupational Health Hispanic or Latino Public relations Health equity Outreach Cross-Sectional Studies Anthropology Life course approach 0305 other medical science business Delivery of Health Care |
| Zdroj: | J Racial Ethn Health Disparities |
| ISSN: | 2196-8837 2197-3792 |
| Popis: | US Latinos continue to experience significant health inequity, despite fluctuating healthcare policies over the past 20 years. Recent studies highlight the importance of comprehensive care and collaboration of stakeholders in reducing inequity. Few studies examine the perspectives of community-based organization leaders, health researchers, and policy experts regarding the most effective practices in the delivery of healthcare to Latino children and families. This unique study employed a mixed-methods cross-sectional design to compare perceptions of effective practices and action strategies among two groups. Analysis of qualitative data gathered from 17 organizational leaders and 28 research/policy experts resulted in four broad themes: (1) engagement of families as participants in their healthcare; (2) provision of comprehensive, family-focused healthcare services across the lifespan; (3) engagement of ethnically competent staff to provide outreach; and (4) development of community collaborations for resource building. Respondents identified three major barriers to the provision of high-quality care: (1) inequities in social determinants; (2) ongoing changes in insurance coverage; and (3) funding challenges for the support of community-based health centers (CHCs). Although the data were collected in 2001, these thematic findings remain relevant given the persistence of inequities and the lack of progress in mitigating inequity among Latino children and families, despite evolving healthcare system changes. The study conclusions reaffirm the importance of community-driven preventive healthcare services across the life course. These community services are the frontline of healthcare for many Latino children and their families; therefore, their sustainability is crucial. The voices of organizational leaders, health research, and policy experts are important and relevant. |
| Databáze: | OpenAIRE |
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