title: Addressing disparities in access to care: lessons from the Kercheval Street clinic in the 1960s.
abstract: Health disparities for racial and ethnic minorities have been present in the United States and persist today. NMHCs (Nurse-Managed Health Center), which can serve as "Medical Homes," are one mechanism by which nurses can attempt to overcome these disparities within communities. In the mid-1960s, Nancy Milio developed and found funding for a NMHC to address disparities in Detroit, Michigan. History shows that the center was so valued by community members that it remained untouched during the Detroit riot of 1967, despite all buildings surrounding it having been burned down or destroyed. This article uses traditional historic methods to describe the establishment of the center in inner-city Detroit in the 1960s in historical context and analyze factors that led to Milio's success. To address disparities via NMHCs, nurses must be persistent in acquiring funding and should involve a racially and culturally diverse group representative of community members in the development, planning, and ongoing operation of the enterprise.
authors.affiliation: University of Virginia, Charlottesville, VA, USA. deguzman@virginia.edu
authors.forename: Pamela B
authors.initials: PB
authors.lastname: DeGuzman
authors.forename: Arlene W
authors.initials: AW
authors.lastname: Keeling
mesh_terms: D003256:Community Participation / Q000266:history; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D049673:History, 20th Century; D006801:Humans; D008430:Maternal-Child Health Centers / Q000266:history*; D008824:Michigan; D008913:Minority Groups; D057184:Practice Patterns, Nurses'; D019037:Urban Health Services / Q000266:history*