Use of enabling services by Asian American, Native Hawaiian, and other Pacific Islander patients at 4 community health centers

Am J Public Health. 2010 Nov;100(11):2199-205. doi: 10.2105/AJPH.2009.172270. Epub 2010 Sep 23.


Objectives: We sought to examine the utilization and impact of enabling services, such as interpretation and eligibility assistance, among underserved Asian American, Native Hawaiian, and other Pacific Islander (AANHOPI) patients served at 4 community health centers.

Methods: For this project, we developed a uniform model for collecting data on enabling services and implemented it across 4 health centers that served primarily AANHOPI patients. We also examined differences in patient characteristics between users and nonusers of enabling services.

Results: Health center patients used many enabling services, with eligibility assistance being the most used service. In addition, compared with nonusers, users of enabling services were more likely to be older, female, AANHOPI, and uninsured (P < .05).

Conclusions: For underserved AANHOPI patients at community health centers, enabling services are critical for access to appropriate care. We were the first to examine uniform data on enabling services across multiple health centers serving underserved AANHOPI patients. More data on enabling services and evaluation are needed to develop interventions to improve the quality of care for underserved AANHOPI patients.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Asian Americans / statistics & numerical data*
  • Community Health Centers / statistics & numerical data*
  • Eligibility Determination / organization & administration
  • Eligibility Determination / statistics & numerical data
  • Female
  • Hawaii / ethnology
  • Health Services Accessibility / organization & administration*
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Male
  • Medically Uninsured / statistics & numerical data
  • New York City
  • Oceanic Ancestry Group / statistics & numerical data*
  • Translating
  • Washington