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Esperanza Pintor Martinez, MPHEsperanza Pintor Martinez, MPHClinic Administrator at La Clínica de la EsperanzaClinic Administrator at La Clínica de la Esperanza
January 26, 2013 January 26, 2013
Hi t f L Clí i d l E
History of La Clínica de la Esperanza
1995 Iowa Health – Des Moines family residency program Iowa Health – Des Moines family residency program At United Mexican-American Community Center –
now Hispanic Educational ResourcesOB focus
Hi t ti d
History continued
2001Grant Partnership with DMU Partnership with DMUMove to 2679 Maury Street building Additional staff hired Expanded services offered Logo created
M l ti
Maury location
DMU studentsDrake pharmacy studentsDrake pharmacy students Shared space Free services – donations acceptedpRange of services offered
N d d h
Needed changes
Deteriorating Maury building Patients’ needs Patients needs Focus groups and patient surveys
Additional services requiredqChanges in health care Continued partnership
R l ti
Relocation
2012 DMU continued partnership DMU continued partnership Planning August 13, 2012 g ,
Slidi F S l
Sliding Fee Scale
Reasons to transition to a sliding fee scale Patient and community reactions Patient and community reactions Staff reactions August 13, 2012g , Process of sliding fee scale and billing insurances
C t i
Current services
Family medicine Pediatrics
Mental healthReduced cost-
Women’s health Adult medicine
Mental health
Reduced cost-vasectomies*
ClassesMental health Care management Financial assistance
Prenatal care Breastfeeding Famil planningapplications
Questions with bills Specialty care
Family planning Nutrition Diabetes p y
St ff
Staff
Visiting providers from East Des Moines Family Care CenterCare Center
Visiting providers from Penn Avenue OB/GYN 14 staff; 10 bilingual (Spanish & English) Schedules
C Q ti
Common Questions
How does one access La Clinica?Do you only serve Latinos?Do you only serve Latinos? Specialty Care Barriers encountered
Any other questions?
Cultural Competence
vs.
Cultural Humility
“Cultural humility incorporates a lifelong commitment to self-evaluation and self-critique, to redressing the to self evaluation and self critique, to redressing the power imbalances in the patient-physician dynamic, and to developing mutuallly beneficial and non-paternalistic clinical and advocacy partnerships with paternalistic clinical and advocacy partnerships with communities on behalf of individuals and defined populations.”
~Tervalon & Murray-Garcia, 1998
C lt ll H bl
Culturally Humble Strategies
Dangers of assumptions and stereotypes Work with already established groups Be aware of wording you use when speaking to patients Be aware of wording you use when speaking to patients
Wording regarding sex Wording regarding authorities
Being aware and respectful of different cultures and how they impact the beliefs and attitudes of the individuals within those culturesthe beliefs and attitudes of the individuals within those cultures
Having an open mind and being willing to learn about and understanding the culture(s) you are working with and being able to act in a respectful, non-offensive manner
Groups that appear homogeneous are not composed of individuals who are the same; differences exist within groups, as well
C lt l id ti
Cultural considerations
What are some cultural considerations you have encountered or think you may encounter?
It begins with YOU B i f lt l b li f d ttit d Being aware of our own cultural beliefs and attitudes
and how they influence our treatment of those who are different than us
Why its important
Q ti
Questions
Esperanza Pintor MartinezOffice: 515-271-4450Office: 515-271-4450Cell phone: 515-402-2683 Email: [email protected] g
R f
References
http://www.wishard.edu/our-services/obgyn Tervalon M & Murray-Garcia J 1998 Cultural Tervalon, M. & Murray-Garcia, J. 1998. Cultural
humility versus cultural competence: A critical distinction in defining physician training outcomes i l i l l d i J l f H lth C f in multicultural education. Journal of Health Care for the Poor and Underserved, 9, 2.