title: Community health center access to resources for their patients with diabetes.
abstract: Community health center providers and staff access to resources for their Latino and non-Latino patients with diabetes is unknown. We analyzed survey data from 577 community health center providers and staff who manage diabetes from 85 sites across 10 Midwestern states. Respondents were labeled as high proportion (HP) providers if >25 % of their site's diabetes population was Latino. HP providers were more likely than non-HP providers to have access to physician's assistants (71 vs. 58 %) and certified diabetes educators (61 vs. 51 %), but less access to endocrinologists (25 vs. 35 %) (p < 0.05). HP providers had greater access to Spanish-speaking providers (48 vs. 26 %), on-site interpreters (83 vs. 59 %), culturally tailored diabetes education programs (64 vs. 26 %), and community outreach programs (77 vs. 52 %) (p < 0.05). Providers at HP sites reported greater access to a range of personnel and culturally tailored programs. However, increased access to these services is needed across all sites.
authors: Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave. MC 2007, Chicago, IL, 60637, USA, abaig@uchicago.edu.
authors: Arshiya A
authors: AA
authors: Baig
authors: Cara A
authors: CA
authors: Locklin
authors: Amanda
authors: A
authors: Campbell
authors: Cynthia T
authors: CT
authors: Schaefer
authors: Loretta J
authors: LJ
authors: Heuer
authors: Sang Mee
authors: SM
authors: Lee
authors: Marla C
authors: MC
authors: Solomon
authors: Michael T
authors: MT
authors: Quinn
authors: J
authors: J
authors: Martin Vargas
authors: Deborah L
authors: DL
authors: Burnet
authors: Marshall H
authors: MH
authors: Chin
mesh_terms: D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003151:Community Health Centers / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000458:organization & administration; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D016730:Program Development; D015397:Program Evaluation; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires