Dubuque Pacific Islander Health Project Brochure Copyrighted
May 7, 2018
City of Dubuque Consent Items # 4.
ITEM TITLE: Dubuque Pacific Islander Health Project
SUMMARY: City Manager transmitting the public information brochure
on the Dubuque Pacific Islander Health Project.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File
ATTACHMENTS:
Description Type
Dubuque Pacific Islander Health Project Supporting Documentation
Dubuque
� Pacific Islander
�,� Health Project
� ��
� � � Navigating the Healthcare System
��� �
650 � \ / � � �
Pacificlslanders � �
inoubuque , • 192
Total Pacific Islander $4
patients at Crescent.
Pacific Islander population
offocus8workingwith
Crescent case manager since
January2017.
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disease burden Er 1945 1946 1958 �9�g 1979 1986
The U.S. gained U.S.tested Marshall Islands Government of the The Compact of
healthcare access controlofthe • nuclear � adopttheirfirst � Marshalllslands ■
Marshall Islands weapons in the national established, country Free Association
challenges from Japan. Marshall Islands. constitution becomes was signed by the
self governing. U.S. and three
• Diabetes and cancer are the two Pacific Island
nations.
leading causes of death in the Pacific program objectives �
Islander community. • Assist and support the Pacific Islander people in obtaining
• Compared to 8.3%of the U.S.adults, appropriate healthcare services.
prevalence estimates of diabetes • Find workable solutions for language translation and interpretation.
range from 25-50% in Pacific Islander • Recruit, train, and provide a community health worker from the Pacific
adults, a range considered to be one Islander population, and registered nurse, to conduct an in-reach
program to establish trusting relationships, assist them in keeping
of the highest in the world. appointments, encourage compliance with medications, educate
• Pacific Islanders are less aware of them on appropriate use of the ER as well as other strategies to
chronic diseases, less likely to seek improve their health and other issues. ���
treatment, and typically do not seek positive outcomes
care until there is a perceived health . Pacific Islander patients are actively contacting Crescent when they encounter barriers to community
crisis usually indicated by pain. resources because they are engaged and have a more trusting relationship with Crescent staff.
• Barriers to access include: seeking . Lunch and learn classes have been held to educate on cooking techniques, nutritional value, and using
affordable healthcare, trust, healthier foods.
communication, culture, modesty, • Patients have been enrolled into other programs such as the Visiting Nurse Association's - Care for Yourself
financial and systemic. Program and the First Five Program for kids ages 0-5.
• Assistance with referral (translation and comprehension) to specialty services.
• Transportation coordination/coverage is now offered and utilized.
- . . • - - barriers to success
• Access to state and federal insurance programs.
f • Prescription medication costs.
� • Funding and sustainability of program.
• Access to specialty care.
• Language and cultural barriers.
� • � � , • � • Legal and immigration obstacles.
. - . - - .
• Lack of awareness regarding health status, chronic
_ � . , � , , illness, and general health maintenance.