Abstract

precede the care. In community clinics, the formula we use is 80% education and nurturing, 20% medical care. If you don’t do the education and nurturing and provide the love and affirmation for the patients, the medical care isn’t going to do what you’re hoping it’s going to do. We asked UCLA to do a study of our prenatal program to isolate the reasons our patients have so few low-birth weight babies. There wasn’t any magic formula. The people who were seeing the patients wanted to see them, cared about them, and gave individual attention to their individual needs. We don’t have fancy offices or fancy equipment, but each individual’s problems are identified and effectively addressed. It sounds like a simple formula, but it’s actually very hard to deliver for people who are poor, who are minority, or who speak another language. That’s the challenge that we face, but it’s really a labor of love. We have a great time doing it. Our approach seems to affirm the importance of the communities we serve, as well as the individual patients. The problems of racial and ethnic discrimination may be solved at least in part through this kind of local community delivery, and contribution from the ground level to policy discussions on quality care and health care access.

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