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Latinos and healthcare in the United States: Diverse challenges and unmet needs

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National Institutes of Health

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  1. Legality and coverage
  2. The health of Latinos
  3. Understanding health
  4. The marketing of health to Latinos
  5. Marketing to Hispanic
  6. Arizona: Background and context
  7. 1999: A 13 year old girl sufferes appendicitis in Maricopa County in Arizona
  8. Policy descriptions
    1. Equal Reflection of Resources Policy
    2. Translating the Medical Experience
    3. Open Communication Training
    4. â€[oe]Real Life” Cultural Competency training requirements
  9. Medical profession and 'Affirmative Action'
  10. Primary care vouchers
  11. Policy Element Ratings
    1. Definitions
    2. Rating
  12. Discussion of Policies for Arizona
  13. Conclusions

Since 2003, Latinos have become the largest minority group in the United States, composing over 12.5% of the population. Unfortunately, many Latinos are not able to access healthcare in a meaningful way, as barriers of availability, accessibility, affordability and adaptability create a difficult environment for Latinos to navigate. Due to issues such as the diverse characteristics of Latino populations, socioeconomic status, lack of citizenship, and linguistic capabilities, the Latino population as a whole experiences some of the most alarming disparities in healthcare access and delivery. In the 2005 National Healthcare Quality Report (produced by the Agency for Healthcare Quality and Reform), 88% of Latinos reported worsening conditions for accessing healthcare and 53% reported worse quality of those services that they were receiving, more than any other ethnic group and second only to the general ?poor income? group. Even though many of the difficulties Latinos face in healthcare can be attributed to their immigrant status (legal or illegal) and their socioeconomic situation, cultural competency within the healthcare system also has a great impact on how well Latinos access health services.

[...] Conclusions: The disparities that Latinos are experiencing in their health and healthcare usage develop from the complexities of their immigrant status, their cultural perceptions, their socioeconomic standing, and the nuances of the United States healthcare system. Within these structures, cultural competency in health care and education has still the ability to significantly affect Latino health. Healthcare should incorporate culture into its delivery in a sustainable and comprehensive manner through cultural competency policies that make cultural competency more mainstream throughout the outlets for health that Latinos utilize. [...]

[...] Health care utilization, family context, and adaptation among immigrants to the United States. Journal of Health and Social Behavior. 35:4, 370-384. Institute of Medicine. (2002). Speaking of Health: Assessing health communication strategies for diverse populations. [lvi] Dávila, Arlene. Latinos, Inc.: The Marketing and making of a people. University of California Press [lvii] Dávila, Arlene. Latinos, Inc.: The Marketing and making of a people. University of California Press [lviii] Dávila, Arlene. Latinos, Inc.: The Marketing and making of a people. University of California Press [lix] Dávila, Arlene. [...]

[...] Immigrants, persons with limited proficiency in English, and the TANF program: What do we know?. Center on Budget and Policy Priorities. Washington, D.C. Multicultural Council of the Northern Territory. Consultation for the 2002-2003 Migration and Humanitarian Program Feb Apr 2006. <>. Brown, ER, Ojeda, VD, Wyn, and R Levan. Racial and Ethnic Disparities in Access to Health Insurance and Health Care. UCLA Center for Health Policy Research and Kaiser Family Foundation, April 2000. [xii] Easterbrook, Micheal and Fisher, Jean P. [...]

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