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Place Matters in Non-Traditional Migration Areas: Exploring Barriers to Healthcare for Latino Immigrants by Region Neighborhood and Community Health Center

机译:将问题放在非传统移民地区:按地区邻里和社区卫生中心探索拉丁裔移民的医疗保健障碍

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摘要

This paper identifies differences in adult Latino immigrant barriers to healthcare in the Cincinnati area in Hamilton County, OH on three levels: by region, by neighborhood, and by community health center. Secondary data analysis was performed on 439 surveys. Respondents were aggregated by the geographic regions and neighborhoods where they live and by two community health centers where they receive care. Outcome measures included pragmatic and skill barrier indices adapted from the Barriers to Care Questionnaire (BCQ); the pragmatics index consists logistical barriers, including transportation and cost; the skills index is made up of items related to navigating the healthcare system, including communicating with physicians and completing paperwork. The results indicate that immigrant Latinos living in western Cincinnati and northern Hamilton County face significantly higher pragmatic barriers to care, while Latino immigrants going to a community health center in western Cincinnati have significantly fewer pragmatic and skill barriers than immigrants utilizing a nearby community health center. Because healthcare options for undocumented immigrants do not improve with the Affordable Care Act, community health centers will continue to serve as their primary source of care. This is particularly true in non-traditional migration areas, where immigrants tend to be isolated and lack resources. Efforts to improve access to healthcare for immigrant Latinos require place-based approaches that allow for targeted resources to improve care in these locations. This study helps to fill that need by identifying variation in barriers to care on multiple levels and offering strategies to alleviate these barriers.
机译:本文从三个层次上确定了俄亥俄州汉密尔顿县辛辛那提地区成人拉丁裔移民对医疗保健的障碍的差异:按地区,按邻域和按社区卫生中心划分。对439个调查进行了二次数据分析。根据受访者居住的地理区域和社区以及接受医疗服务的两个社区卫生中心汇总受访者。结果指标包括从《护理障碍调查表》(BCQ)改编的务实和技能障碍指数;语用学指标包括运输和成本等后勤障碍。技能指数由与导航医疗保健系统相关的项目组成,包括与医生沟通和完成文书工作。结果表明,居住在辛辛那提西部和汉密尔顿县北部的拉丁裔移民面临更高的实用性护理障碍,而前往辛辛那提西部社区卫生中心的拉丁裔移民的实用性和技能障碍显着低于使用附近社区卫生中心的移民。由于“可负担医疗法案”(Affordable Care Act)并未改善无证移民的医疗选择,因此社区保健中心将继续作为其主要护理来源。在非传统移民地区尤其如此,那里的移民往往被孤立和缺乏资源。努力提高拉丁裔移民获得医疗保健的机会,需要基于位置的方法,这些方法应允许有针对性的资源来改善这些地点的护理。这项研究通过确定多层次护理障碍的变化并提供缓解这些障碍的策略来帮助满足这一需求。

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