Author: Migrant Cliniciams Network
Date Published: 1993
This monograph addresses issues concerning the future of health care delivery for migrant and seasonal farmworkers formulated by participants at the 1992 Migrant Health and Migrant Clinical Issues Conference. Ten focus groups considered various issues and barriers to service delivery and listed the system characteristics required to implement the ideal delivery system. The ten focus group topics were: (1) health promotion through patient empowerment and education; (2) community outreach; (3) financing; (4) data transfer; (5) cultural sensitivity; (6) case management; (7) oral health services; (8) recruitment and retention of health care providers; (9) advocacy and tailoring delivery systems; and (10) practice-based research. The ideal health care delivery system outlined by the focus groups: (1) must be involved in all areas that affect farmworkers' health; (2) must provide comprehensive health care services; (3) must provide services in a manner appropriate to farmworkers' culture and lifestyle; (4) must be developed from the ground up; (5) must maximize interagency coordination and integration of services; (6) must aggressively recruit multilingual, multicultural health care providers and other staff; (7) must use a centralized, standardized database; and (8) must achieve consolidated funding rather than funding fragmented among different sources with differing priorities.