title: The Latino Physician Shortage: How the Affordable Care Act Increases the Value of Latino Spanish-Speaking Physicians and What Efforts Can Increase Their Supply.
abstract: The United States Latino population is growing at a rapid pace and is set to reach nearly 30% by 2050. The demand for culturally and linguistically competent health care is increasing in lockstep with this growth; however, the supply of doctors with skills and experience suited for this care is lagging. In particular, there is a major shortage of Latino Spanish-speaking physicians, and the gap between demand and supply is widening. The implementation of the Affordable Care Act (ACA) has increased the capacity of the US healthcare system to care for the growing Latino Spanish-speaking population, through health insurance exchanges, increased funding for safety net institutions, and efforts to improve efficiency and coordination of care, particularly with Accountable Care Organizations and the Hospital Readmissions Reduction Program. With these policies in mind, the authors discuss how the value of Latino Spanish-speaking physicians to the healthcare system has increased under the environment of the ACA. In addition, the authors highlight key efforts to increase the supply of this physician population, including the implementation of the Deferred Action for Childhood Arrivals Act, premedical pipeline programs, and academic medicine and medical school education initiatives to increase Latino representation among physicians.
authors.affiliation: University of California Irvine School of Medicine, Irvine, CA, USA.|The UC Irvine Paul Merage School of Business, Irvine, CA, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Daar
authors.affiliation: University of California Irvine School of Medicine, Irvine, CA, USA. miguea1@uci.edu.|The UC Irvine Paul Merage School of Business, Irvine, CA, USA. miguea1@uci.edu.
authors.forename: Miguel
authors.initials: M
authors.lastname: Alvarez-Estrada
authors.affiliation: The UC Irvine Paul Merage School of Business, Irvine, CA, USA.
authors.forename: Abigail E
authors.initials: AE
authors.lastname: Alpert
mesh_terms: D003144:Communication Barriers; D003695:Delivery of Health Care / Q000208:ethnology; D006630:Hispanic or Latino; D006801:Humans; D058991:Patient Protection and Affordable Care Act; D010820:Physicians / Q000600:supply & distribution*; D014481:United States
keywords: Affordable Care Act; DACA; Latino; Physician shortage; Spanish-speaking; Value