title: Evaluating primary care delivery systems for an uninsured Hispanic immigrant population.
abstract: Hispanic populations experience disparities in health outcomes and health care. Using participatory methods, we evaluated 4 systems of primary care delivery for an uninsured Hispanic population. Best practices were determined that could be translated back to the partner clinics and the community. The assessment included patient service areas, provider discussion groups, patient surveys, calculation of travel distances, and costs. The following best practices were identified: improved proximity to services, enhanced bilingual services, affordable services, and integrated services. Researchers and providers not only identified translatable service delivery practices but also laid the foundation for ongoing research partnerships.
authors.affiliation: Department of Family Medicine, Carolinas Medical Center, Charlotte, North Carolina 28207, USA. hazel.tapp@carolinashealthcare.org
authors.forename: Hazel
authors.initials: H
authors.lastname: Tapp
authors.forename: Heather A
authors.initials: HA
authors.lastname: Smith
authors.forename: James T
authors.initials: JT
authors.lastname: Dixon
authors.forename: Thomas
authors.initials: T
authors.lastname: Ludden
authors.forename: Michael
authors.initials: M
authors.lastname: Dulin
mesh_terms: D055812:Community-Based Participatory Research; D003695:Delivery of Health Care; D006630:Hispanic or Latino; D006801:Humans; D017057:Medically Uninsured / Q000706:statistics & numerical data; D020380:Needs Assessment / Q000706:statistics & numerical data; D009657:North Carolina; D011320:Primary Health Care / Q000191:economics* / Q000706:statistics & numerical data