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Latino Access to the Patient-Centered Medical Home
Journal of General Internal Medicine, 10/23/09

Beal A et al. – White (57.1%) and Puerto Rican (59.3%) adults were most likely to have a PCMH, while Mexican/Mexican Americans (35.4%) and Central and South Americans (34.2%) were least likely. Much of the disparity was caused by lack of access to a regular provider. Respondents with a PCMH had higher rates of preventive care and positive patient experiences. Disparities in care were eliminated or reduced for Latinos with PCMHs. The regression models showed private insurance, which is less common among all Latinos, was an important predictor of having a PCMH. Eliminating health–care disparities will require assuring access to the PCMH. Addressing differences in health–care coverage that contribute to lower rates of Latino access to the PCMH will also reduce disparities.

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