Chronic Disease Management

Rothenberg (1990) reported that those over the age of 60 have 2.2 chronic health care conditions. These chronic health conditions are responsible for 75 percent of health care costs in the United States and for 7 out of 10 deaths annually (NCLR, 2014). Latinos are more likely to be beset by chronic health conditions such as: heart disease, cancer, diabetes, asthma, obesity, hypertension, arthritis, and liver disease. They are also more likely to experience inadequate and poorer quality health care to manage their chronic diseases. Some of this is due to cost, lack of time, immigration status, and language.

CURRENT STATE

  • Washington State provides certification for care for English speaking only which eliminates those who come from other cultures and speak other languages as caregivers
  • There are not many Spanish-speaking adult family homes in the region
  • In Oregon, there is a lack of resources for those who speak Spanish
  • There is a lot of confusion regarding the ACA in terms of billing
  • Care at home is not covered by Medicaid for those discharged from nursing homes
  • In the Latino culture, there is pressure to care for your family as well as to be successful
  • Challenging to navigate the system and get support to care for older adults
  • In Anchorage, they have the anchor-ride system to provide transportation to those who don’t drive
     

BARRIERS AND CHALLENGES

  • The Latino population in the Northwest is young, so it is difficult to get people to understand and prepare for the fact that we are aging
  • Don’t know what happens to the elderly when the caregivers are working in the fields all day; there is no one to care for them
  • It is important that the Latino Center for Health has a focus on practice and policy in order to make changes at the larger system’s level; for example, how can we care for people at home in a less costly fashion?
     

RECOMMENDATIONS FOR RESEARCH AND PARTNERSHIPS

  • More research on immigrant health to better understand their health and how it changes the longer they are in our country
  • Information on how other countries have elders that live long healthy lives
  • More research around the built environment and how it can support the aging; how the built environment can impact social networks
  • Focus on the strengths of the Latino population — universal design concept; what are some positive aspects of our community that can influence the greater society?
  • Understand how the elderly are being dismissed and how to integrate them back into society again
     

HISPANICS ADHERENCE TO CHRONIC CONDITIONS CARE PLAN

chart on care plan ahderance

Graph courtesty of National Council of La Raza

Contact Information | Latino Center for Health | ginoa@uw.edu | lsm2010@uw.edu | 206-616-9365