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AHRQ’s Approach to Informing Latinos about Health Care Efficiency, Quality & Safety. Ileana Mar í a Ponce- González , MD, MPH, CNC Scientific Review Officer Agency for Healthcare Research and Quality NHMA 14 th Annual Conference Washington, DC – March 26, 2010. AHRQ Overview.

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AHRQ’s Approach to Informing Latinos about Health Care Efficiency, Quality & Safety

Ileana María Ponce-González, MD, MPH, CNC

Scientific Review Officer

Agency for Healthcare Research and Quality

NHMA 14th Annual Conference

Washington, DC – March 26, 2010


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AHRQ Overview Efficiency, Quality & Safety

  • Agency within the US. Department of Health & Human Services

  • Sister agency to the Centers for Disease Control (CDC) and the National Institutes of Health (NIH), etc

  • Mission: To improve the quality, safety, efficiency and effectiveness of health care for all Americans

Agency for Healthcare Research and Quality


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Language Proficiency Efficiency, Quality & Safety

  • About 52 million Americans (nearly 1 in 5) spoke a language other than English at home in 2000, up from 32 million in 1990

  • Nearly half reported not speaking English very well

2009 National Healthcare Quality and Disparities Reports Coming Soon


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Communication with Health Care Providers Efficiency, Quality & Safety

  • Adult Latinos were more than twice as likely as non-Hispanic adult whites to report language as the reason they had difficulty understanding their doctor (3.7 percent compared with 1.4 percent)

  • Poor Latinos were four times more likely to have difficulty understanding their doctor than high-income Latinos (8.5 percent v. 2.2 percent) 

AHRQ 2008 National Healthcare Disparities Report


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Health Care Disparities Among Latinos are Getting Worse Efficiency, Quality & Safety

  • Latinos are 38 percent less likely than non-Latinos to have visited the doctor within the past year

  • More than a quarter of Latino adults have never had their cholesterol checked

  • Two-thirds of Latinos over 50 have never had a colonoscopy

  • More than half of Latinas over 40 have not had a mammogram within the last year.

AHRQ 2008 National Healthcare Disparities Report


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The Involved Patient: What the Research Shows Efficiency, Quality & Safety

  • The average doctor visit lasts less than 20 minutes

  • Patients who share in decisionmaking about their health care tend to get better care and be more satisfied with their care

  • The average patient asks 1.5 questions per visit, including questions about parking


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Hispanic Media Efficiency, Quality & Safety

Health Fairs

Spanish-Language

Dissemination

Información en español

Scientific Conferences

Consejos de salud

Direct Marketing

Healthcare 411

Partnerships

AHRQ Outreach Designed for the Latino Community


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Emphasis on preventive care Efficiency, Quality & Safety

Main message: Tu no eres un superhéroe (You’re not a superhero)

Patient-Engagement: Superhéroes Campaign

www.ahrq.gov/superheroes


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Superh Efficiency, Quality & Safetyéroes Web Page

  • Encourages Hispanics to make periodic doctor visits an integral part of a healthy lifestyle

  • Provides assistance in locating HRSA-funded health centers

www.ahrq.gov/superheroes


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Informing Latinos About Health Care Effectiveness, Quality & Safety

Patient Guides in Spanish Include:

  • Antidepressant Medicines

  • Choosing Pain Medicine for Osteoarthritis

  • Comparing Two Kinds of Blood Pressure Pills: ACEIs and ARBs

  • Pills for Type 2 Diabetes


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Guides for Clinicians Safety

Example: Choosing Antidepressants for Adults

  • Summarizes clinical research on commonly used antidepressants for adults with major depression

  • Selective serotonin reuptake inhibitors and other agents

  • Includes confidence ratings based on quantity and quality of clinical evidence

http://effectivehealthcare.ahrq.gov


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Videos for Consumers/Patients Safety

  • 10-minute video helps patients understand how they should use anticoagulant drugs

  • Basic information about blood thinners medications including reasons why a clinician might prescribe it

  • Tips on diet, medicines and foods to avoid and precautions for some daily activities

Brochure available in Spanish and English

www.ahrq.gov/consumers/btpills.htm#videos


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Spanish-Language Web Page Safety

www.ahrq.gov/consumerespanoix.htm


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Opportunities: NHMA & AHRQ Safety

  • Encourage health care consumers to use AHRQ’s patient-engagement and patient-education materials for Latinos

  • Use AHRQ information and tools for clinicians in areas including preventive health and medication adherence

  • Explore opportunities to create a network involving AHRQ, Latino health service providers and Hispanic advocacy groups


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Ordering Information Safety

  • Phone: Toll-free: 800-358-9295

    • Callers outside of the U.S.: 703-437-2078

  • E-mail: [email protected]

  • Mail: P.O. Box 8547, Silver Spring, MD 20907-8547

  • On-line: AHRQ Publications online store: http://ahrqpubs.ahrq.gov


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Questions? Safety

[email protected]


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