Study of implications for understanding community variation in access to care for Hispanics - Health Tracking Joint Solicitation

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.The purpose of this project is for researchers to examine how measures of access to health care differ between Hispanic and non-Hispanic populations. They will also examine whether access measures differ by specific subgroups of the Hispanic population. Traditional measures of access, which the researchers believe may underestimate actual access difficulties in relation to the Hispanic community, include insurance status, number of physician visits, visits to medical professionals, and emergency room visits. They will develop and test alternative access measures, which would be satisfactory for measuring access by both Hispanics and non-Hispanics. The objectives of the study are to: (1) investigate whether current access measures are culturally sensitive; and (2) incorporate new, culturally sensitive indicators of access into a multivariate analysis to determine if commonly used access measures can be appropriately used in regard to Hispanic populations. They will also assess what percentage of the inability of the uninsured to obtain care across communities is accounted for by the Hispanic population; whether the same variation would be found if different access measures were used; and in what ways do community characteristics contribute to differences in access. The researchers will use the Community Tracking Study Household Survey, which will be linked to Census Bureau data in order to analyze the effect of community characteristics.

Grant Details

Amount Awarded $97,397.00

Awarded on: 2/19/1999

Time frame: 3/1/1999 - 11/30/2000

Grant Number: 36333


Project Hope - The People-to-People Health Foundation, Inc.

255 Carter Hall Lane
P.O. Box 250
Millwood, 22646-0255


Claudia L. Schur
Project Director