Oral

The five conclusions of this session are as follows: 1.Enabling resources are the main barriers to accessing specialty care 2.As increased number of children in low-income families gained access to much needed care through the CHIs, this lack of provider capacity is a great concern 3.Dropping out of MC/HF does indeed worsen access to physician services 4.Years of HIV experience among practitioners significantly impacts the likelihood of HAART receipt 5.An intensive intervention conducted by a nurse-case manager/community health worker team reduces ER visits in urban African-Americans with diabetes; a benefit which may be partially mediated by improvement in glycemic control

Session Objectives: There are five objectives for this session. To: 1.Describe the sequential movements of health services utilization 2.Evaluate provider capacity on locally funded health insurance program for low-income children in Calfirornia 3.Identify the impact of discontinous public coverage on access to health care 4.Identify the most important provider and clinical factors associated with HAART 5.Describe a nurse-case manager/community health worker team intervention to improve diabetes care among urban African Americans