1 / 18

Preparing for the Next Generation

Preparing for the Next Generation. Latino Health in California. Verónica Montoya, Policy Director. Latino Coalition for a Healthy California. California’s Healthcare : Measuring the Need. Background:. Background Demographics LCHC Areas of Priority Current Issues

emma-wood
Download Presentation

Preparing for the Next Generation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Preparing for the Next Generation Latino Health in California Verónica Montoya, Policy Director Latino Coalition for a Healthy California

  2. California’s Healthcare : Measuring the Need Background: Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary     Total population in California expected to increase-- Expected to add 10 million residents by 2020 - Brings the total state population to 46 million Californians are getting older –A 73% expected increase in this population between 2000 - 2020 Our income is declining –Lower average pay in currently growing industries Income and job gap in California is expected to widen –A quarter of California’s jobs pay $10 or less per hour Source: California Budget Project, Paving the Way

  3. California’s Healthcare : Measuring the Need     • Majority of California’s low-wage workers are adults and/or full-time workers -- - 84% of all workers are between the ages of 25 - 64 - Of those, nearly 60% are low-wage workers • Most workers depend on employer-based health care coverage – • Nearly 18 million California residents receive health insurance coverage through their employer • Employer-provided coverage is declining -- In 2000, nearly 60% of all those with healthcare coverage received it through their employer. Only four years later (2004), this had declined to 54% • Approx. 6.5 million Californians are uninsured -- • More than one out every six people is uninsured Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary Source: California Budget Project, Paving the Way

  4. Latino Health and Healthcare Coverage • Demographics: • Nationally: • 13% of the US population is Latino • 1/3 of nation’s Latinos live in California • By 2050, 1/4 of the nation’s population will be Latino • Statewide: • 33% of Californians are Latino (11 million) • By 2040, half of the state’s population will be Latino • (majority of new population growth will be within the • Latino community) • One of every two children born in California is Latino Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary Source: 2000 U.S. Census

  5. Latino Health and Healthcare Coverage     • Latinos tend to be younger -- • The Californian median age is 34 versus 25 for Latinos • Latinos tend to have higher workforce participation rates but lower wages –Latinos continue to have one of the highest, but continue to comprise the largest population of low-wage earners – making up 57% of the current 59% of all workers who are low-wage earners • Latinos tend to be of the working age but have lower rates of employer-provided coverage – • Only 43% of Latinos have employer provided coverage compared to 76% for Whites • Latinos are often uninsured – • Latinos continue to be the majority of those over-represented • Currently, 54% of the uninsured are Latino Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary Source: Institute of Medicine, Unequal Treatment Source: U.S. 2000 Census, U.S. Dept. of Labor, California Budget Project

  6. Latino Health and Healthcare Coverage    • Latinos continue to increasing health disparities - Have higher incidence rates in chronic and LT illnesses • Nearly one out of every five Latino adults over the age of 50 report • they have diabetes, twice the rate for their White counterparts • Most recent data indicates that gap is getting worse with 59% of • disparity measures widening for Latinos (Agency for Healthcare Research & Quality) • Latinos continue to be under-represented in health and medical professions • Despite being a third of California’s population, less than 5% of all • practicing physicians, nurses and dentists are Latino • Continuing decline in medical school enrollment • Latinos physicians more likely to practice in underserved areas • Minority physicians are more likely to provide care to minority population, practice in under-served areas and serve uninsured patients. Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary

  7. Priorities in Latino Health 1 Access to Healthcare Issue: Latinos are the majority of California’s uninsured. Focus: Strategies that work to increase access to high quality, culturally and linguistically appropriate care in a timely manner Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary 2 Health Disparities Issue: Less than 5% of all actively practicing physicians in California are Latino.Focus: Work to develop a diverse, culturally and linguistically competent health care work force 3 Community Health Issue: Nearly one in five Latino adults over the age of 50 report that they are diabetic, twice the rate of Whites Focus: Need to build healthy communities through collaborative, multi-sect approaches to prevent disease

  8. 2 Overcoming Health Disparities: Latinos in the Health Professions Combining supply with demand Economic and Workforce Need Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary   Aging population will place new demands on long-term care Allied health accounts for 60% of the healthcare workforce    Top 30 fastest growing jobs through 2010 in the U.S. expected to be in allied health jobs Opportunity to match (and educate) next generation of Latinos with demand Continued projections on healthcare workforce ‘shortages’ Source: UCSF Center for Health Professions Impacting increasing cost in healthcare Patients’ perceived treatment (“concordance”) may positively impact and reduce ongoing healthcare disparities in treatment & outcomes   Goal: to curb or decrease skyrocketing healthcare cost; Decreased cost(s) could enable more to be covered Source: Commonwealth Fund, Disparities in Patient Experiences

  9. Overcoming Health Disparities: Latinos in the Health Professions Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary Source: U.S. Census 2000,

  10. Overcoming Health Disparities: Latinos & Allied Health Facts: Estimated 200 different allied health professions – complicates data collection Estimated 11 million workers Latinos = Approx. 6-8%  Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary   Projected Shortages: Source: U.S. Census 2000, UCSF Center for Health Professions

  11. What’s Been Done With Building Latinos in Healthcare? Review of Policy: 1999 Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary AB 2394 (Firebaugh) Established the Task Force on Culturally and Linguistically Competent Physicians and Dentists to develop recommendations for a continuing education program for physicians and dentists. Also established sub-committee to study feasibility of establishing a pilot program to allow Mexican & Caribbean-licensed physicians and dentists to practice in non-profit community health centers in CA’s medically under-served communities. 2002 AB 1045 (Firebaugh) As follow up to AB 2394, AB 1045 created a pilot program for licensed physicians to practice medicine and dentistry in CA for 3 years. Also required a training program to be created by visiting clinicians. To date, program remains unfunded.

  12. What’s Been Done With Building Latinos in Healthcare? 2003 AB 938 (Yee) Creates Licensed Mental Health Service Provider Education program that provides loan assumption for mental health professionals. Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary 2003 AB 982 (Firebaugh) LCHC sponsored Creates the California Medical and Dental Student Loan Repayment program (later named the Stephen L. Thompson Loan Repayment plan) to provide loan repayment to doctors and dentists who agree to practice in under-served areas. 2005 SB 63 (Committee on Budget & Fiscal Review) Creates SNAPLE (State Nursing Assumption Program of Loans for Education) that allows loan forgiveness for those going into the teaching profession for nursing or nursing programs.

  13. What’s Been Done With Building Latinos in Healthcare? 2005 SB 780 (Ortiz) -- VETOED Would have requested that the UC Regents take further information into consideration regarding the admissions process. Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary 2005 AB 327 (De La Torre) Creates voluntary assessment of an additional $50 per application fee to be diverted specifically into the Medically Underserved Account that provides financial incentives to physicians and surgeons practicing in a medically underserved community. 2006 SB 1309 (Scott) Makes changes to the State Nursing Assumption Program of Loans for Education program from full time to part time. Status: Before the Governor.

  14. Other Current Issues AB 2283 (Oropeza) LCHC sponsored   Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary • Would report data of physician cultural ethnicity and language • Public reporting annually • Opportunity to begin public planning • Status: Before the Governor   Proposition 86: Stephen L. Thompson Loan Repayment Plan • Issue of cost -- funding • Portion expected to continue funding program • Opportunity to use as mirror program • Status: On November ’06 ballot   

  15. Recommendations: Thoughts for the Future Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary Latinos Health Profession School High School K-12 College Health professionals Inadequate educational programs Drop Out No Applications Rejection Financial difficulty Academic Difficulty Source: Developing the CA Health Care Workforce of Tomorrow, CA Wellness Found.

  16. Recommendations: Thoughts for the Future Need to continue collecting workforce data Need to continue collecting patient data Need to develop overall long-term, mid-range, and short-term strategy Need to develop directed policy goals and objectives that will begin meeting the needs of the workforce (expected shortages) Review of alternative non-policy strategies  Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary    

  17. Your Role Conclusion Opportunities to Collaborate: Background Demographics LCHC Areas of Priority Current Issues Recommendations Summary Participate in HELhP (Health Enhanced by Latinos in health Professions) Constructing strategies Demand data Keep updated on policy issues    

  18. For More Information See Yourself Latino Coalition for a Healthy California 1225 Eighth Street, Suite 500 Sacramento, CA 95814 Ph: 916.448.3234 Fax: 916.448.3248 www.lchc.org Here. Staff: Lupe Alonzo Diaz, Executive Director Verónica Montoya, Policy Director Vanessa Cajina, Regional Networks Coordinator Liz Dominguez, Administrative Assistant

More Related