| PHILIPPINES NURSES ASSOCIATION OF AMERICA, INC. |
JNPARRJNPARR Publications
| JNPARR - Publications - Volume 13 Issue 2 - AbstractLeveraging Community Partnerships to Empower Filipino Texans towards Patient-Centered Outcomes Research (PCOR)Written by Sarah Christie, Pamela E. Windle, Shela E. Ecobiza, & M. Danet Lapiz-Bluhm doi: https://doi.org/10.13178/jnparr.2023.13.02.1303 DownloadAbstract Background: Understanding the barriers to healthcare experienced by Filipino Americans (FAs) can provide insight towards implementing patient-centered care that considers key components that limit healthcare accessibility for this population. Patient-centered outcomes research (PCOR) can facilitate the discovery of healthcare issues, facilitators, and barriers to health and healthcare, community engagement, and data dissemination. The Filipino American Patient-Centered Outcomes Research “Nayon” (village) (FAPCORN) network was established in Texas.
Objective: This paper describes the health and healthcare issues among FAs residing in Texas and associated factors to promote community engagement toward PCOR. Methods: FA stakeholders in Texas attended community-based “pulong at samasama” (PASS) or focus group meetings, which surveyed their health and healthcare priorities and engagement. A total of ten PASS meetings (in-person and virtual) were held over a 20-month period and attended by 87 total stakeholders (8-10 per meeting). Data were analyzed for emerging themes using NVivo software. Results: Common health issues shared include diabetes and hypertension. Barriers to health and healthcare are lack of knowledge about the prevention or management of these chronic conditions, limited health access related to cost and transportation, complexity of the healthcare system, cultural barriers, and lack of Filipino providers. Participants suggested some mechanisms to address these issues including expansion of telehealth, utilization of nurse practitioners, implementation of culturally sensitive care, education on selecting and using insurance, greater emphasis on preventative healthcare education, access to affordable healthcare, information on immigrant healthcare services, organized community engagement with incentives, patient-friendly technology, and the opportunity to participate in FA outreach. Conclusion: The FAPCORN meetings provided FAs the opportunity to voice their health and healthcare issues. The data highlight the need for cultural considerations in patient education, outreach, and accessibility to healthcare. Knowledge of these issues can help inform community-based interventions to improve patient-centered health outcomes and address health inequities. Keywords: Filipino Americans, Texas, health priorities, community issues, patient-centered outcomes research |