Journal of Community Health

, Volume 42, Issue 3, pp 481–488 | Cite as

Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients

  • Arturo Vargas Bustamante
  • Ana Martinez
  • Xiao Chen
  • Hector P. Rodriguez
Original Paper


We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes and workplace climate surveys of clinicians and staff from CHCs were included in an analytic sample. Comparisons of means analyses examine patient and provider characteristics. The associations of QSR, MCW and the diabetes care management were examined using regression analyses. Diabetes care process were more consistently provided in CHCs with high quality staff relations and more manageable clinic workload, but HbA1c, LDL cholesterol, and blood pressure outcomes were no different between clinics with high vs. low QSR and MCW. Focusing efforts on improvements in practice climate may lead to more consistent provision of important processes of diabetes care for these patients.


Workplace climate Diabetes care Safety net providers Latinos Chinese Americans 



The study was approved by the UCLA IRB. This manuscript is not under consideration in other journals.


This study was funded by the Agency of Healthcare Research and Quality (AHRQ) Grant Number R-18 HS20120-01.

Compliance with Ethical Standards

Conflict of Interest

All authors declares that they have no conflict of interest to disclose.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Arturo Vargas Bustamante
    • 1
  • Ana Martinez
    • 2
  • Xiao Chen
    • 2
  • Hector P. Rodriguez
    • 3
  1. 1.Department of Health Policy and ManagementUCLA Fielding School of Public HealthLos AngelesUSA
  2. 2.UCLA Center for Health Policy ResearchUCLA Fielding School of Public HealthLos AngelesUSA
  3. 3.Department of Health Policy and ManagementUC-BerkeleyBerkeleyUSA

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