Monika Doshi photo

Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan

Publication Abstract

Doshi, Monika, William D. Lopez, Hannah Mesa, Richard Bryce, Ellen Rabinowitz, Raymond Rion, and Paul J. Fleming. 2020. "Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan." PLOS ONE, 15(6): e0233839.

Immigration- and enforcement-related policies and laws have significantly and negatively impacted the health and well-being of undocumented immigrants. We examine barriers and facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrants specifically in the post 2016 US presidential election socio-political climate. By grounding our study on the perspectives of frontline providers, we explore their challenges in meeting the needs of their undocumented clients. These include client access to healthcare and social services, the barriers providers face in providing timely and effective services, and avenues to reduce or overcome factors that impede service provision to improve quality of care for this population. Data are from 28 in-depth interviews with frontline healthcare and social service providers. Based on data analysis, we found that the domains of the Three Delays Model used in obstetric care provided a good framework for organizing and framing the responses. Our findings suggest that these undocumented clients encounter three phases of delay: delay in the decision to seek care, delay in identifying and traveling to healthcare facilities, and delay in receiving adequate and appropriate care at healthcare facilities. Given the current socio-political climate for immigrants, healthcare and social services organizations that serve undocumented clients should adapt existing services or introduce new services, including those that are not site-based.

10.1371/journal.pone.0233839

Browse | Search | Next

PSC In The News

RSS Feed icon

Iglesias-Rios discusses dangers of COVID-19 outbreaks among Michigan farm workers

Stern comments on US history of forced sterilization in light of allegations about conditions in ICE custody

Schulenberg finds marijuana use at four decade high among young adults

More News

Highlights

Help Establish Standard Data Collection Protocols for COVID-19 Research

Prescott wins Distinguished University Innovator Award for foundation of Matterhorn online legal tool

More Highlights


Connect with PSC follow PSC on Twitter Like PSC on Facebook