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Spanish-Speaking Parents’ Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use (Academic Pediatrics)

Publication Topics

California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); Access to Health Care; Barriers to/Disparities in Health Care; Immigrant; Racial and Ethnic Groups; Hispanic/Latino; Family, Caregiving and Parental Issues; Adolescents/Children

Publication Type

CHIS Journal Article

Publication Date


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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1812\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1812&amp;RootFolder=*">Kori B. Flower</a>

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Summary: Children of Spanish-speaking caregivers face multiple barriers to care in academic medical centers. This study identified barriers and facilitators of health care and described use of health information technology in order to guide interventions and optimize services.

In-depth, audiotaped interviews were conducted with monolingual Spanish-speaking caregivers of children receiving care in academic medical center clinics using a structured interview guide. Interviews were transcribed in Spanish, and key themes were identified using thematic analysis.

Findings: Language-specific barriers included arrival/registration occurring in English, lack of bilingual personnel, heavy reliance on interpreters, long wait times, and challenging phone communication. Non–language-specific barriers included medical center size and complexity, distance to services, lack of convenient and coordinated appointments, missing work/school, and financial barriers including insurance coverage or lack of citizenship. Caregivers identified interpreters, bilingual physicians and staff, and written materials in Spanish as facilitators of care. Most caregivers had internet access and expressed interest in health information technology, including patient portals, to communicate about their children's health.

Caregivers of Spanish-speaking children encounter many language-specific barriers, which are compounded by non–language-specific barriers arising from complex health systems and social needs. Caregivers with limited resources described working hard to meet children's complex health care needs despite these barriers. Most caregivers had internet access and interest in patient portals. Academic medical centers may need multifaceted interventions that improve the availability of bilingual staff and interpreters and also address caregivers' social and informational needs.

This study cites data from the 2015-2016 California Health Interview Surveys.


Article 1

Journal Article> Spanish-Speaking Parents’ Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use

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Press Release

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California Health Interview Survey (CHIS)

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Version: 3.0
Created at 11/17/2020 3:15 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 11/17/2020 3:30 AM by i:0#.f|uclachissqlmembershipprovider|celeste