Latino Migrant Medcast

Episode 104 - Making connections: Continuity of care

bhavemangould@gmail.com (Brad Haveman-Gould, PA-S) — Tue, 27 Jul 2010 20:29:00 -0700

The final installment in a four-part series, this episode explores how primary care clinicians can optimize continuity of care in a population that is inherently transient.

Knowing that diabetes is a chronic condition that requires consistent and accurate medical attention, how can primary care providers expect to have success managing this disease in a population that leaves their practice after only 3 months of being their patient?

In this episode, we discuss an innovative resources that is working to combat this problem through medical record sharing and an accessible clinician directory.

Also, we connect all four podcast episodes in a recap of the series.

Podcast audio: Listen to “Making connections: Continuity of care” here

Link: Migrant Clinician Network

References (series)

Bacardí-Gascón, M., Garay, P. R., & Jiménez-Cruz, A. (2005). A diabetes intervention program of physical activity carried out at primary care settings in Mexico. Diabetes Research and Clinical Practice, 68, 135-40.

Bergland, J. E., Heuer, L., & Lausch, C. (2006). Diabetes lay educator case study: One woman’s experience working with the Hispanic migrant and seasonal farmworkers. Journal of Cultural Diversity, 13, 152-7.

Flores, G., Fuentes-Afflick, E., Barbot, O., Carter-Pokras, O., Claudio, L., Lara, M., McLaurin, J. A., Pachter, L., Ramos-Gomez, F., Mendoza, F., Valdez, R. B., Villarruel, A. M., Zambrana, R. E., Greenberg, R., & Weitzman, M. (2002). The health of Latino children: Urgent priorities, unanswered questions, and a research agenda. JAMA, 288, 82-90.

Gentry, K., Quandt, S. A., Davis, S. W., Grzywacz, J. G., Hiott, A. E., & Arcury, T. A. (2007). Child healthcare in two farmworker populations. Journal of Community Health, 32, 419-31.

Goldman, L., & Ausiello, D. (Eds.). (2008). Cecil medicine (23^rd ed.). Philadelphia: Saunders.

Heuer, L. J., Hess, C., & Batson, A. (2006). Cluster clinics for migrant Hispanic farmworkers with diabetes: perceptions, successes, and challenges. Rural and Remote Health, 6, 469-74.

Heuer, L., Hess, C. W., & Klug, M. G. (2004). Meeting the health care needs of a rural Hispanic migrant population with diabetes. Journal of Rural Health, 20, 265-70.

Heuer, L., & Lausch, C. (2006). Living with diabetes: Perceptions of Hispanic migrant farmworkers. Journal of Community Health Nursing, 23, 49-64.

Kowalski, K., Hoffman, C. J., & McClure, A. (1999). Nutritional patterns and needs of migrant farm workers in northwest Michigan. Journal of the American Dietetic Association, 99, 221-4.

Kim-Godwin, Y. S., & Bechtel, G. A. (2004). Stress among migrant and seasonal farmworkers in rural southeast North Carolina. Journal of Rural Health, 20, 271-8.

Kuo, D., & Fagan, M. J. (1999). Satisfaction with methods of Spanish interpretation in an ambulatory care clinic. Journal of General Internal Medicine, 14, 547-50.

Lausch, C., Heuer, L., Guasasco, C., & Bengiamin, M. (2003). The experiences of migrant health nurses employed in seasonal satellite nurse-managed centers: a qualitative study. Journal of Community Health Nursing, 20, 67-80.

Lee, L. J., Batal, H. A., Maselli, J. H., & Kutner, J. S. (2002). Effect of Spanish interpretation method on patient satisfaction in an urban walk-in clinic. Journal of General Internal Medicine, 17, 641-5.

Migrant Clinicians Network. (2008). Resources introduction. Retrieved from http://www.migrantclinician.org/resources_intro.html

Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the Latino population. Epidemiologic Reviews, 31, 99-112.

Villarejo, D. (2003). The health of U.S. hired farm workers. Annual Review of Public Health, 24, 175-93.

Weiler, D. M., & Crist, J. D. (2009). Diabetes self-management in a Latino social environment. Diabetes educator, 35, 285-92.

Episode 103 – Communication: Language interpretation and cultural proficiency

bhavemangould@gmail.com (Brad Haveman-Gould, PA-S) — Tue, 27 Jul 2010 20:26:00 -0700

The third of a four-part series, this episode explores how primary care clinicians can improve communication with their Latino migrant patients through a two-pronged approach, addressing both language and culture.

How can we treat a patient with whom we cannot even communicate in a common language? How can we effectively educate them on a disease process without understanding the cultural context?

Exploring recent research, we discuss the best options for language interpretation in light of financial constraints and also offer several practical suggestions that can improve your cultural proficiency in working with this population.

Podcast audio: Listen to “Communication: Language interpretation and cultural proficiency” here

References

Heuer, L. J., Hess, C., & Batson, A. (2006). Cluster clinics for migrant Hispanic farmworkers with diabetes: perceptions, successes, and challenges. Rural and Remote Health, 6, 469-74.

Kowalski, K., Hoffman, C. J., & McClure, A. (1999). Nutritional patterns and needs of migrant farm workers in northwest Michigan. Journal of the American Dietetic Association, 99, 221-4.

Kuo, D., & Fagan, M. J. (1999). Satisfaction with methods of Spanish interpretation in an ambulatory care clinic. Journal of General Internal Medicine, 14, 547-50.

Weiler, D. M., & Crist, J. D. (2009). Diabetes self-management in a Latino social environment. Diabetes educator, 35, 285-92.

Episode 102 - Access: Single-setting, multidisciplinary care

bhavemangould@gmail.com (Brad Haveman-Gould, PA-S) — Sun, 25 Jul 2010 08:04:00 -0700

The second in a four-part series, this episode explores how primary care clinicians can tailor their offerings to improve access to Latino migrants with diabetes.

Having established that Latino migrants both have a higher incidence of diabetes and a greater vulnerability for diabetic complications in the previous podcast episode, we now explore how clinicians can successfully get these patients “in the door” for medical care – or, perhaps, how clinicians can work to move their “doors” to improve access. With a recent epidemiologic review concluding that this population seeks and receives health care less than other US citizens, how can primary care clinicians work to improve access?

In this episode, we present tips for optimizing an office's seasons, hours, and location.

Podcast audio: Listen to "Access: Single-setting, multidisciplinary care" here

References

Gentry, K., Quandt, S. A., Davis, S. W., Grzywacz, J. G., Hiott, A. E., & Arcury, T. A. (2007). Child healthcare in two farmworker populations. Journal of Community Health, 32, 419-31.

Heuer, L. J., Hess, C., & Batson, A. (2006). Cluster clinics for migrant Hispanic farmworkers with diabetes: perceptions, successes, and challenges. Rural and Remote Health, 6, 469-74.

Heuer, L., Hess, C. W., & Klug, M. G. (2004). Meeting the health care needs of a rural Hispanic migrant population with diabetes. Journal of Rural Health, 20, 265-70.

Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the Latino population. Epidemiologic Reviews, 31, 99-112.

Episode 101 - Latino Migrants with Diabetes: Introduction and Overview

bhavemangould@gmail.com (Brad Haveman-Gould, PA-S) — Sun, 25 Jul 2010 07:56:00 -0700

The first of a four-part series, this episode explores the unique health care status of Latino migrants in the United States and how it relates to Diabetes Mellitus.

Diabetes is a chronic condition with potential for severe complications if not managed chronically. Latino migrants live a mobile lifestyle that makes consistency in health care difficult. How will these factors play out in the demographic statistics of Latino migrants and diabetes?

Before we spend our time offering solutions in the upcoming episodes, we first take the time to establish that there is a serious problem.

Podcast audio: Listen to "Latino Migrants with Diabetes: Introduction and Overview" here

Links: CDC: Hispanic or Latino Populations

References

Goldman, L., & Ausiello, D. (Eds.). (2008). Cecil medicine (23^rd ed.). Philadelphia: Saunders.

Heuer, L. J., Hess, C., & Batson, A. (2006). Cluster clinics for migrant Hispanic farmworkers with diabetes: perceptions, successes, and challenges. Rural and Remote Health, 6, 469-74.

Heuer, L., & Lausch, C. (2006). Living with diabetes: Perceptions of Hispanic migrant farmworkers. Journal of Community Health Nursing, 23, 49-64.

Kim-Godwin, Y. S., & Bechtel, G. A. (2004). Stress among migrant and seasonal farmworkers in rural southeast North Carolina. Journal of Rural Health, 20, 271-8.

Weiler, D. M., & Crist, J. D. (2009). Diabetes self-management in a Latino social environment. Diabetes educator, 35, 285-92.

Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the Latino population. Epidemiologic Reviews, 31, 99-112.