title: Approaches to case management in Puerto Rican communities.
abstract: This article reviews some critical elements of case management as they apply to Puerto Ricans seeking quality and consistency in health care and social services in a system which is culturally foreign, difficult to negotiate, and frequently unresponsive, especially to those with limited economic resources and government rather than private insurance. Following a brief outline of some principles of case management, we discuss aspects of Puerto Rican history, family organization, and health-seeking behavior that relate to case management. Descriptions of three programs illustrate several case management approaches that combine methods to access care with those needed to organize coordinated inter-institutional care. Finally, we suggest ways for case managers to successfully work with Puerto Rican families.
authors: J J
authors: JJ
authors: Schensul
mesh_terms: D003237:Connecticut; D003466:Cultural Characteristics; D004641:Emigration and Immigration; D006297:Health Services Accessibility / Q000592:standards*; D006630:Hispanic or Latino; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D011647:Puerto Rico / Q000208:ethnology