142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Impact of the Affordable Care Act on a Community Clinic serving immigrant Latinos: The role of health policy, community needs, and gentrification on sustainability

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 5:30 PM - 5:50 PM

Monica Lopez, MSW, PhD , Mission Economic Development Agency, San Francisco, CA
Amelia M. Martinez Cantos, MNA , Mission Promise Neighborhood, Mission Economic Development Agency, San Francisco, CA
Victoria Benson , School of Public Health; Department City and Regional Planning, UC Berkeley, San Francisco, CA
In San Francisco, the Affordable Care Act (ACA) is expected to have profound implications for community clinics as they mobilize to enroll their uninsured patients into the new healthcare exchange system.   But just as clinics may be working to increase the rolls of the insured in their clinics, they may also be risking losing these patients to other health care providers.  In San Francisco, where gentrification has been changing the demographics of neighborhoods, community clinics are faced with the additional threat that gentrification has posed as patients with increased choices may be opting to take their healthcare needs to clinics closer to them.  This study will assess the impact of the ACA on a community clinic serving Latino immigrants in San Francisco.  Through in-depth interviews with clinic staff, Executive Board members, and community outreach workers we will assess the impact of the ACA on the clinic’s operations, strategic planning and sustainability plans.  Additionally, through an analysis of patient enrollment trends and patient satisfaction data we will be able to provide a contextual framework from which to discuss how the clinic envisions its role in a changing community.  Lastly, the study will offer an insight as to how the unique role and contribution of a community clinic to its particular target population may play a strong role in ensuring its sustainability.

Learning Areas:

Public health or related research

Learning Objectives:
Assess the impact of the Affordable Care Act on patient membership at a community health clinic in an urban setting undergoing profound demographic change

Keyword(s): Community Health Centers, Affordable Care Act

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently a Senior Evaluator at a community based organization funded by the US Department of Education to implement a Promise Neighborhood initiative that brings together city agencies, community based organizations and schools to improve the outcomes of Latino students and their families in San Francisco's Mission District. My research experience includes studies in health disparities in cancer treatment, patient-physician communication in clinical settings, and culturally tailored interventions for Latino populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.