Following the call: how providers make sense of their decisions to work in faith-based and secular urban community health centers.

Abstract:

:We interviewed 49 health care providers from 6 faith-based and 4 secular community health centers (CHCs) to explore the ways they relate their religious commitments to practice among the underserved. Interviews were transcribed, coded, and analyzed for emergent themes through an iterative process of textual analysis. Providers in faith-based CHCs explained the decision to work in underserved settings as a response to a religious calling to medicine as a means of ministry, and by reference to particular benefits and freedoms of working with colleagues who share an explicitly faith-informed vision for care of the underserved. Most providers from secular CHCs explained their motivations in less religious terms by reference to intrinsic rewards such as "making a difference" for the underserved. Providers from both settings emphasized the frustrations and difficulties of meeting overwhelming demands with inadequate resources. In light of prior literature regarding work orientation, our findings suggest that CHCs may provide distinctive opportunities for intrinsically motivated providers to craft their work into a calling, where a calling is understood as a deeply felt motivation for work that goes beyond the satisfaction of the worker's material and social needs. Faith-based CHCs appear to provide a context that is attractive to some minority of providers who desire to enact a religious calling to ministry through the practice of medicine. Future studies are needed to test these hypotheses using quantitative methods and broader representative sampling.

authors

Curlin FA,Serrano KD,Baker MG,Carricaburu SL,Smucker DR,Chin MH

doi

10.1353/hpu.2006.0120

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

944-57

issue

4

eissn

1049-2089

issn

1548-6869

pii

S154868690640944X

journal_volume

17

pub_type

杂志文章
  • Federally qualified health center patients and generic drug discount programs.

    abstract::This study evaluates the factors associated with utilization of generic drug discount program (GDDP) among federally qualified health center (FQHC) patients in Houston, Texas. A survey to determine awareness and use of GDDP was administered to 304 patients at three FQHCs in Houston, Texas. Patients at FQHCs treated wi...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0069

    authors: Omojasola A,Hernandez M,Sansgiry S,Paxton R,Jones L

    更新日期:2012-05-01 00:00:00

  • Racial and ethnic disparities in health: a view from the South Bronx.

    abstract::This study seeks to understand the perspective of Black and Hispanic/Latino residents of the South Bronx, New York, on the causes of persistent racial and ethnic disparities in health outcomes. In particular, it focuses on how people who live in this community perceive and interact with the health care system. Finding...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2006.0026

    authors: Kaplan SA,Calman NS,Golub M,Davis JH,Ruddock C,Billings J

    更新日期:2006-02-01 00:00:00

  • Katrina and vulnerability: the geography of stress.

    abstract::The immediate aftermath of Katrina focused the world's attention on the vulnerability of the urban poor and racial/ethnic minority groups in New Orleans. This vulnerability can be viewed in terms of site, the proximity of a neighborhood to a hazard, and situation, the social context of that neighborhood. Vulnerabiliti...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2007.0029

    authors: Curtis A,Mills JW,Leitner M

    更新日期:2007-05-01 00:00:00

  • Making the case for medicaid funding of smoking cessation treatment programs: an application to state-level health care savings.

    abstract:BACKGROUND:In spite of cost-saving tobacco-dependence treatments, many state Medicaid programs offer only limited coverage for these treatments. This report builds a case for state-level financial benefits from funding smoking cessation treatment for Medicaid-eligible populations. METHODS:Applying published cost estim...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0171

    authors: McCallum DM,Fosson GH,Pisu M

    更新日期:2014-11-01 00:00:00

  • The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings.

    abstract::Publicly funded family planning clinics serve millions of low-income women each year, providing a range of critical preventive services and enabling women to avoid unintended pregnancies. It is important to quantify the impact and cost-effectiveness of such services, in addition to these health benefits. Using a metho...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0060

    authors: Frost JJ,Finer LB,Tapales A

    更新日期:2008-08-01 00:00:00

  • The pattern of association between U.S. economic indicators and infant mortality rates at the state level.

    abstract::This cross-sectional ecological study examines the pattern of association of state income and income inequality (measured by Gini coefficient) with state infant mortality rates (IMRs) in the U.S. Scatter plots and correlation coefficients were used to examine bivariate associations and bubble plots to examine three-wa...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0144

    authors: Kershenbaum A,Price J,Nagle NN,Erwin PC

    更新日期:2014-08-01 00:00:00

  • Racial differences in iron measures and outcomes observed during an iron reduction trial in peripheral arterial disease.

    abstract::Elevated body iron (ferritin) levels may contribute to adverse health outcomes. Racial differences in iron measures and clinical outcomes were observed during an iron reduction trial in peripheral arterial disease. At entry, Black compared with White participants had higher ferritin and lower red cell measures, as wel...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,随机对照试验

    doi:10.1353/hpu.2015.0026

    authors: Zacharski LR,Shamayeva G,Chow BK,DePalma RG

    更新日期:2015-02-01 00:00:00

  • Community based health insurance schemes: lessons from rural Kenya.

    abstract:BACKGROUND:Health care costs are often a hindrance to seeking health care. Community-based health care insurance schemes (CBHIS) is a suitable alternative to conventional health insurance schemes which are often beyond the budget of majority of rural residents in Africa. Following establishment of a model CBHIS in the ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0023

    authors: Kamau N,Njiru H

    更新日期:2014-02-01 00:00:00

  • Community care for people who are homeless and mentally ill.

    abstract::This qualitative longitudinal study documents the experiences of 60 people who are homeless and mentally ill from their state mental hospital discharge through their first two years in community housing. The study explores the personal, cultural, and environmental contexts of life for adults who are homeless and menta...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0754

    authors: Drury LJ

    更新日期:2003-05-01 00:00:00

  • Using mail to reach patients seen at an urban health care facility.

    abstract::Urban American Indians/Alaska Natives (AI/ANs) are highly mobile, and little is known about ways to include them in research or clinical activities. We evaluated postal mailings as a means of reaching patients seen at an urban Indian health care facility (60% of whom were AI/AN) and identified factors associated with ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2006.0104

    authors: Duffy D,Goldberg J,Buchwald D

    更新日期:2006-08-01 00:00:00

  • The political agenda of health care for African Americans.

    abstract::Health care reform presents both challenges and opportunities for African Americans. On the one hand, reform could result in the closure of black medical institutions and fewer black physicians. On the other hand, reform gives African Americans an opportunity to bargain for available resources to gain equality in heal...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0522

    authors: Brooks TJ 3rd

    更新日期:1997-08-01 00:00:00

  • Prior nonfatal firearm injuries in detainees of a large urban jail.

    abstract::Detainees of large urban jails have may health risks including injuries related to violence and firearms. A survey of 582 randomly selected detainees entering the Cook County Department of Corrections during the summer of 1994 found that 51 percent had previously entered hospitals for violence-related injuries, and 26...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,评审

    doi:10.1353/hpu.2010.0640

    authors: May JP,Ferguson MG,Ferguson R,Cronin K

    更新日期:1995-01-01 00:00:00

  • A randomized community intervention to improve hypertension control among Mexican Americans: using the promotoras de salud community outreach model.

    abstract::The objectives of this study were: 1) to evaluate the acceptance, effectiveness, and sustainability of a promotora (community health worker) pilot program to improve hypertension control among medically underserved Mexican Americans of the El Paso, Texas area, and 2) to demonstrate improvements in clinical measures of...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,随机对照试验

    doi:10.1353/hpu.0.0209

    authors: Balcazar HG,Byrd TL,Ortiz M,Tondapu SR,Chavez M

    更新日期:2009-11-01 00:00:00

  • Roles of community helpers in using the Medicare Part D benefit.

    abstract:OBJECTIVES:To examine the experiences of low-income Part D beneficiaries with mental illness and their use of community helpers to access prescription medicines. METHODS:Individual semi-structured interviews were conducted with 26 Medicare beneficiaries with mental illness in community settings. The transcripts were a...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0019

    authors: Hensley MA

    更新日期:2011-02-01 00:00:00

  • Predictors of cancer screening among low-income primary care patients.

    abstract::Although population-based studies report lower rates of cancer screening among racial/ethnic minorities than among Whites in the U.S., few studies have examined predictors of screening among low-income Hispanic, Black, and Chinese primary care patients. We examined utilization of mammography, Pap smear, digital rectal...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2008.0001

    authors: Lubetkin EI,Santana A,Tso A,Jia H

    更新日期:2008-02-01 00:00:00

  • Effectiveness of a Retention Program to Improve Performance During the First Semester of a Doctor of Physical Therapy Program.

    abstract:BACKGROUND:To meet the expanding need for physical therapists universities are under increasing pressure to enroll, educate, and train physical therapists. Poor academic performance can result in student dismissal from a physical therapy program. The purpose of this study is to determine if implementation of a retentio...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0029

    authors: Owens SC,Rainey Y,Tucker P,Edmunds B

    更新日期:2018-01-01 00:00:00

  • Improving Treatment Completion Rates for Latent Tuberculosis Infection: A Review of Two Treatment Regimens at a Community Health Center.

    abstract:BACKGROUND:Prophylactic treatment of latent tuberculosis infection (LTBI) is necessary for controlling TB in low-incidence settings. However, treatment is often limited by poor completion rates. METHODS:At a community health center serving low-income Hispanics, treatment completion among patients accepting 12 weekly d...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,评审

    doi:10.1353/hpu.2015.0126

    authors: Lines G,Hunter P,Bleything S

    更新日期:2015-11-01 00:00:00

  • African American men's and women's perceptions of clinical trials research: focusing on prostate cancer among a high-risk population in the South.

    abstract::While African Americans are at a significantly higher risk for developing certain cancers, they also have low rates of participation in cancer research, particularly clinical trials. This study assessed both African American men's and African American women's (1) knowledge of and participation in cancer-related clinic...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0187

    authors: Owens OL,Jackson DD,Thomas TL,Friedman DB,Hébert JR

    更新日期:2013-11-01 00:00:00

  • Community responses to diabetes and mental health care for the uninsured population in Michigan.

    abstract:OBJECTIVE:To examine how the safety net in Michigan is responding to the health care needs of their uninsured population with diabetes and/or mental illness. METHODS:We used a multiple-site case study design. Data were collected through interviews of key informants in five Michigan communities. Analytic patterns and t...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0100

    authors: Dalton VK,Jacobson PD,Konig M,Holman PP Jr

    更新日期:2009-02-01 00:00:00

  • Pancreatic Adenocarcinoma in New Mexico Native Americans: Disparities in Treatment and Survival.

    abstract::In this study, we examined the treatment and outcomes of pancreatic adenocarcinoma in New Mexico Native Americans (NA). METHODS:A retrospective review of patients treated for pancreatic adenocarcinoma at a university cancer center from 2002-2016 comparing demographic characteristics, disease presentation, treatment, ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0045

    authors: Greenbaum A,Alkhalili E,Rodriguez R,Caldwell K,O'Neill J,Munoz OE,Qeadan F,Myers O,Nir I,Morris KT

    更新日期:2019-01-01 00:00:00

  • Quality of Asthma Management in Children Attending Health Centres in Kingston & St. Andrew, Jamaica Compared with International Clinical Practice Guidelines.

    abstract:OBJECTIVES:To assess the quality of asthma care within the paediatric population who attended health centres in Kingston & St. Andrew (KSA) and compare this quality to Global Initiative for Asthma (GINA) guidelines. METHODS AND MATERIALS:Data were collected from 257 dockets of children aged 2-17 years old with asthma ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0028

    authors: Ricketts-Roomes TF,Waldron NK,James K

    更新日期:2019-01-01 00:00:00

  • Prenatal care use and health insurance status.

    abstract::Many observers explain the prevalence of inadequate prenatal care in the United States by citing demographic or psychosocial factors. But few have evaluated the barriers faced by women with different health insurance status and socioeconomic backgrounds. In this study of 149 women at six hospitals in Minneapolis, insu...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0472

    authors: Oberg CN,Lia-Hoagberg B,Skovholt C,Hodkinson E,Vanman R

    更新日期:1991-10-01 00:00:00

  • Dental caries in underprivileged children of Los Angeles.

    abstract:OBJECTIVES:The purpose of this study is to investigate the disease of dental caries among a population of poor, migrant, minority children in Los Angeles County. METHODS:The study team developed an instrument to be completed by parents about their children's determinants of oral health, and adapted the Association of ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0063

    authors: Mulligan R,Seirawan H,Faust S,Barzaga C

    更新日期:2011-05-01 00:00:00

  • Prevalence of Untreated Hearing Loss by Income among Older Adults in the United States.

    abstract::Age-related hearing loss is highly prevalent and only 20% of adults with hearing loss report using hearing aids. A major barrier to increased hearing aid use is the high out-of-pocket costs associated with hearing aids. The objective of this brief report is to estimate the numbers of millions of Americans 60 years or ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0164

    authors: Mamo SK,Nieman CL,Lin FR

    更新日期:2016-01-01 00:00:00

  • Shaping the Jail Inreach Project: program evaluation as a quality improvement measure to inform programmatic decision making and improve outcomes.

    abstract::The Jail Inreach Project was initiated in 2007 as a pilot program by Healthcare for the Homeless-Houston, an FQHC serving homeless individuals in Harris County, Texas, as a collaborative effort with the Harris County Sheriff's Office and the Mental Health Mental Retardation Authority of Harris County. It addresses the...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0063

    authors: Brown CA,Hickey JS,Buck DS

    更新日期:2013-05-01 00:00:00

  • Project ECHO: replicating a novel model to enhance access to hepatitis C care in a community health center.

    abstract::Project Extension for Community Healthcare Outcomes (Project ECHOTM) is an innovative telemedicine program that improves patient care by developing and supporting the competence of primary care providers. The Community Health Center, Inc. replicated this model to address significant access issues and improve hepatitis...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0093

    authors: Khatri K,Haddad M,Anderson D

    更新日期:2013-05-01 00:00:00

  • Under the ACA Higher Deductibles and Medical Debt Cause Those Most Vulnerable to Defer Needed Care.

    abstract:OBJECTIVE:Study occurrence and consequences of deductibles and medical debt among privately insured under the Affordable Care Act. METHODS:Analysis of 2012-2016 National Health Interview Survey data on privately insured adults younger than age 65 on the effect of deductibles on medical debt, deferred medical care, and...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0031

    authors: Rabin DL,Jetty A,Petterson S,Froehlich A

    更新日期:2020-01-01 00:00:00

  • Self-reported health among Cambodians in Lowell, Massachusetts.

    abstract::National health data reported for Asians in the aggregate present a picture of good health, but significant health disparities exist between Southeast Asian refugees, and Cambodians in particular, and the overall population of the U.S. To effectively address health disparities, ethnically specific data is needed. Data...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2006.0089

    authors: Koch-Weser S,Liang SL,Grigg-Saito DC

    更新日期:2006-05-01 00:00:00

  • The Clinton health-care reform plan: does it serve the underserved?

    abstract::During the 1992 presidential campaign, Governor Clinton promised, if elected, to provide leadership from the Oval Office for sweeping, comprehensive reform of the U.S. health-care system to benefit all Americans. The President's ambitious blueprint, as outlined on September 22, 1993, falls short of this pledge. For th...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 社论

    doi:10.1353/hpu.2010.0433

    authors: Weil TP

    更新日期:1994-01-01 00:00:00

  • Community wellness: a group empowerment model for rural America.

    abstract::Because answers to rural health problems no longer reside solely at the federal or state level, county Extension agents in Georgia are playing a pivotal role in helping communities empower themselves with the Community Wellness program. Community Wellness is a process-oriented program that encompasses community-based ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0440

    authors: Jenkins S

    更新日期:1991-04-01 00:00:00