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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Public Health

Tuesday, October 25, 2011

Health Advocates Find Ways To Serve State's Ethnically Diverse Areas

Health advocates in California are working to help underserved residents in ethnically diverse communities navigate the health care system, HealthyCal reports.

In 2014, the federal health reform law will provide incentives for the use of more health advocates.

About the Advocates

Health advocates receive more than 200 training hours, and they typically help patients at their homes. Advocates also conduct outreach in churches, schools and foreign consulates.

Advocates work to overcome barriers -- such as language issues and lack of health insurance -- that can negatively affect overall health in the communities they serve.

Advocates help individuals in their communities find health coverage, complete applications and locate physicians.

Examples of Programs

Examples of programs that aim to serve ethnically diverse communities include:

  • The Sacramento-based Hmong Women Heritage Society, which provides two health programs that focus on mental health and on navigating the health care system;
  • The NICOS Chinese Health Coalition in San Francisco, which operates a project to test the effectiveness of a colon cancer prevention program; and
  • San Francisco's "Let's Be Healthy" wellness program, in which Russian-speaking advocates serve the Russian community (Perry, HealthyCal, 10/23).



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