Addressing Disparities in Survivorship Care

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Presentation transcript:

Addressing Disparities in Survivorship Care Strategies for addressing disparities in access to high-quality survivorship care Elmer E. Huerta, MD, MPH Washington DC. June 26, 2015

The Cancer Preventorium Founded in 1994 Low-cost preventative care for the Latino immigrant community More than 33,000 people have been seen at the clinic Daily radio programs and weekly television shows Navigation program November 15, 2018

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

The Cancer Preventorium

THE HISPANIC POPULATION

US Population by Race and Ethnicity Overview of Race and Hispanic Origin USA: 2010. 2010 Census Briefs. Issued March 2011

Hispanic Population in the US Nearly half (47%) of Hispanics are under age 26, compared to 30 percent of non-Hispanic Whites and 35 percent of all U.S. residents Hispanics are about three times less likely than non-Hispanic Whites to be age 65 or older As of 2011, about 6 percent of Hispanics were elderly adults, compared to 17 percent of non-Hispanic Whites. By 2050: will comprise 35% of the US population. 40% are foreign born Diverse ancestry and immigrant status Low educational and socioeconomic status

THE BARRIERS

Barriers That Underserved People Face When Seeking Medical Care Lack of information Linguistic isolation Living in poverty Lack of adequate health insurance coverage Hispanic in the US are the least likely to have health insurance of any racial or ethnic group

Barriers That Underserved People Face When Seeking Medical Care Lack of ethnically-sensitive, culturally-competent programs Lack of understanding of the medical system

US Population by Citizenship Status November 15, 2018

Citizenship Status on Nonelderly Uninsured Hispanics, 2011 November 15, 2018

Health Insurance Coverage for Nonelderly Hispanics Compared to Non-Hispanic Whites by Age, 2011 November 15, 2018

November 15, 2018

Less than one year after the Affordable Care Act’s health insurance marketplaces opened for enrollment, the overall Latino uninsured rate dropped from 36 percent to 23 percent However, the high uninsured rate among Latinos in states that had not expanded their Medicaid program at the time of the survey—33 percent—remained statistically unchanged. These states are home to about 20 million Latinos, the majority of whom live in Texas and Florida. Commonwealth Fund pub. 1775 Vol. 26 September 2014 November 15, 2018

In order to address disparities in access to high-quality survivorship care, we still need to address access to quality health care November 15, 2018

Thank You November 15, 2018