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Evaluating Primary Care Delivery Systems for an Uninsured Hispanic Immigrant Population

Tapp, Hazel PhD; Smith, Heather A. PhD; Dixon, James T. MS; Ludden, Thomas PhD; Dulin, Michael MD, PhD

doi: 10.1097/FCH.0b013e31826d7562
Original Articles

Hispanic populations experience disparities in health outcomes and health care. Using participatory methods, we evaluated 4 systems of primary care delivery for an uninsured Hispanic population. Best practices were determined that could be translated back to the partner clinics and the community. The assessment included patient service areas, provider discussion groups, patient surveys, calculation of travel distances, and costs. The following best practices were identified: improved proximity to services, enhanced bilingual services, affordable services, and integrated services. Researchers and providers not only identified translatable service delivery practices but also laid the foundation for ongoing research partnerships.

Department of Family Medicine, Carolinas Medical Center (Drs Tapp and Dulin), and Department of Geography and Earth Sciences, University of North Carolina (Drs Smith, Ludden, and Dulin and Mr Dixon), Charlotte, North Carolina.

Correspondence: Hazel Tapp, PhD, Department of Family Medicine, Carolinas Medical Center, Charlotte, NC 28207 (

This work was supported by The Charlotte Research Institute, a collaborative funding initiative between Carolinas HealthCare System and The University of North Carolina at Charlotte. The authors thank Carlos Rish, Nayla Bitar, Scott Moroney, Richard Smith, the providers and clinic staff who attended the discussion groups, and the patients who completed the surveys. The authors also thank the community and student members of our research team, Lauren Mower, Diana Poulimenos, and Ramon Concepcion-Torres, who helped with data collection and report generation.

The authors declare no conflict of interest.

© 2013 Lippincott Williams & Wilkins, Inc.