Abstract

A disproportionately small percentage of the Hispanic/Mexican population in the United States has adequate access to health services, which decreases quality of life at both the individual and community levels. In addition, it increases risk for preventable diseases through insufficient screening and management. The Mexican Section of the U.S./Mexico Border Health Commission, in efforts to address barriers to accessing preventive health care services for vulnerable populations, launched the initiative Juntos por la Salud (JPLS) that offers health promotion and disease prevention services to Hispanics living in and around 11 U.S. metropolitan cities via mobile health units. This paper presents a descriptive analysis of the JPLS initiative and potential positive impact it has had in reducing barriers faced by the Hispanic population. JPLS screens and provides referrals to primary care services to establish a medical home and has the potential to reduce health care costs in a high-risk population through education and timely health screenings.

Highlights

  • The health system in the United States (U.S.) divides the population among those who receive public or private medical care and those who cannot access health services [1]

  • According to studies carried out by the Mexican Consejo Nacional de Población (CONAPO-Nacional Council on the Population of Mexico), about 6.2 million Mexican immigrants did not have health insurance or access to health services between 2004 and 2013

  • The objective of this paper is to present a qualitative descriptive analysis of the Juntos por la Salud (JPLS) initiative and its potential to reduce barriers faced by the Mexican immigrant population living in the U.S JPLS is hypothesized to increase access to health care services and encourage establishment of a medical home, reducing health care costs through education and timely health screenings

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Summary

Introduction

The health system in the United States (U.S.) divides the population among those who receive public or private medical care and those who cannot access health services [1]. This only serves to heighten health disparities and create structural barriers to accessing available and affordable health care services [2]. The ACA was established through federal legislation in 2010 to address high uninsurance rates, lack of access to care, and variable quality of care received in the U.S [5]. Immigration status often plays a role in lack of access to health insurance and quality health services. In some states, special programs are available for vulnerable populations, women and children

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