Community Health Center Access to Resources for their Patients with Diabetes
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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.
KeywordsDiabetes Latino Services Community health centers
We would like to thank all the participating providers and staff from the MidWest Clinicians’ Network health center sites. We are grateful to James Jung for helping with data management and cleaning and to Amanda Giese for her help in formatting the figures. This research was supported by grants from the National Institute of Diabetes and Digestive and Kidney Diseases Diabetes Research and Training Center (P60 DK20595) and Chicago Center for Diabetes Translation Research (P30 DK092949). Dr. Baig is supported by a NIDDK Mentored Patient-Oriented Career Development Award (K23 DK087903-01A1). Dr. Chin is supported by a NIDDK Midcareer Investigator Award in Patient-Oriented Research (K24 DK071933).
Conflict of interest
The authors do not have any conflicts of interest to disclose.
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