Public health and health professional education at a tribal college: a collaborative immersion program in rural North Dakota.

Introduction: Native Americans have some of the worst health outcomes of any minority group in the USA, and are severely under-represented in the health professional workforce. From 2009 to 2015, partners from a tribal college in rural North Dakota and academic institutions in New York collaborated to create a program wherein non-Native health professionals traveled to the reservation to teach a summer course to Native students. This study assessed the impact of the program on both the Native students who took the course and the non-Native health professionals who taught the course.

Development and Testing of the Provider and Staff Perceptions of Integrated Care (PSPIC) Survey.

This article discusses development and testing of the Provider and Staff Perceptions of Integrated Care Survey, a 21-item questionnaire, informed by Singer and colleagues' seven-construct framework. Questionnaires were sent to 2,936 providers and staff at 100 federally qualified health centers and other safety net clinics in 10 Midwestern U.S.

Developing capacity for the American Indian health professional workforce: an academic-community partnership in Spirit Lake, North Dakota.

Background: American Indians/Alaskan Native (AIAN) populations experience significant disparities in health when compared to the average US population who are under-represented in the health care professional workforce. Current research suggests that racial concordance between patients and providers has a positive effect on patient care.

Objective: We describe a successful academic-community partnership between a tribal college, a local state academic center, an urban public health institution, and an urban academic center all aligned with the goal to increase AIAN health care professional capacity.

Community health center provider and staff's Spanish language ability and cultural awareness.

Many community health center providers and staff care for Latinos with diabetes, but their Spanish language ability and awareness of Latino culture are unknown. We surveyed 512 Midwestern health center providers and staff who managed Latino patients with diabetes. Few respondents had high Spanish language (13%) or cultural awareness scores (22%).

Combating Obesity at Community Health Centers (COACH): a quality improvement collaborative for weight management programs.

Community health centers (CHCs) seek effective strategies to address obesity. MidWest Clinicians' Network partnered with [an academic medical center] to test feasibility of a weight management quality improvement (QI) collaborative. MidWest Clinicians' Network members expressed interest in an obesity QI program.

Community health center access to resources for their patients with diabetes.

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.

Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions.

Introduction: Quality improvement (QI) interventions are usually evaluated for their intended effect; little is known about whether they generate significant positive or negative spillovers.

Methods: We mailed a 39-item self-administered survey to the 1256 staff at 135 federally qualified health centers (FQHC) implementing the Health Disparities Collaboratives (HDC), a large-scale QI collaborative intervention. We asked about the extent to which the HDC yielded improvements or detriments beyond its condition(s) of focus, particularly for non-HDC aspects of patient care and FQHC function.

Sustaining quality improvement in community health centers: perceptions of leaders and staff.

The Health Disparities Collaboratives are the largest national quality improvement (QI) initiatives in community health centers. This article identifies the incentives and assistance personnel believe are necessary to sustain QI. In 2004, 1006 survey respondents (response rate 67%) at 165 centers cited lack of resources, time, and staff burnout as common barriers.

Insurance status and quality of diabetes care in community health centers.

Objectives: We sought to compare quality of diabetes care by insurance type in federally funded community health centers. Method. We categorized 2018 diabetes patients, randomly selected from 27 community health centers in 17 states in 2002, into 6 mutually exclusive insurance groups.

The perceived financial impact of quality improvement efforts in community health centers.

We administered surveys to 100 chief executive officers (CEOs) of community health centers to determine their perceptions of the financial impact of the Health Disparities Collaboratives, a national quality improvement initiative. One third of the CEOs believed that the HDC had a negative financial impact on their health center, and this perception was significantly correlated with centers having a higher proportion of uninsured patients. Performance-based payment incentives may improve care but may also add new financial burdens to facilities that treat the uninsured population.

Predicting changes in staff morale and burnout at community health centers participating in the health disparities collaboratives.

Objective: To identify predictors of changes in staff morale and burnout associated with participation in a quality improvement (QI) initiative at community health centers (HCs).

Data Sources: Surveys of staff at 145 HCs participating in the Health Disparities Collaboratives (HDC) program in 2004. DATA COLLECTION AND STUDY DESIGN: Self-administered questionnaire data collected from 622 HC staff (68 percent response rate) were analyzed to identify predictors of reported change in staff morale and burnout.

Provider perceptions of limited health literacy in community health centers.

Objective: To examine techniques used by community health center (HC) providers to care for patients with limited health literacy (LHL).

Methods: Survey mailed to 803 HC providers in 10 Midwestern states. Response rate was 47.

The use of prayer by Hispanic migrant farmworkers with type 2 diabetes.

Praying for issues related to health can be a very important aspect in peoples' lives. Since research on this practice is limited, a qualitative study was conducted that explored the use of prayer in Hispanic migrant farmworkers diagnosed with type 2 diabetes. Eighteen farmworkers were interviewed and asked two specific questions with multiple probes to elicit information regarding their religious practices and prayer.

Diabetes lay educator case study: one woman's experience working with the Hispanic migrant and seasonal farmworkers.

In the year 2000, Migrant Health Services, Inc. began utilizing Diabetes Lay Educators (DLEs) as a way to improve the health status of Hispanic migrant farmworkers with diabetes. The purpose of this case study was to provide insight into the perceptions of one DLE and characteristics she needed to achieve positive client outcomes.

Living with diabetes: perceptions of Hispanic migrant farmworkers.

This study1 focuses on Hispanic migrant farmworkers and their perceptions of living with diabetes. A phenomenological design was utilized with a sample of 12 participants recruited from 2 local migrant health centers. The interview guide was based on questions from Kleinman's Explanatory Model.

Meeting the health care needs of a rural Hispanic migrant population with diabetes.

Context: There is a need for models of health care that provide accessible, culturally appropriate, quality services to the population of Hispanic migrant farmworkers at risk for or diagnosed with diabetes.

Purposes: The purposes of this study were to describe the Migrant Health Service, Inc (MHSI), Diabetes Program, the conceptual model on which it is based, and 4 types of outcomes achieved over a 3-year period.

Methods: Types and amounts of medical services and education were studied.

The experiences of migrant health nurses employed in seasonal satellite nurse-managed centers: a qualitative study.

This research study describes the unique experiences of nurses who are employed in migrant health seasonal satellite nurse-managed centers in the upper Midwest. Data were generated through semistructured interviews with 10 seasonal nurses. Phenomenology served as the research method.