Objectives: We examined the health care access, quality, and cost experienced by uninsured Latino mothers in two communities in Minnesota and Texas. These communities differ substantially by the size of the local population without health insurance coverage. Methods: Four focus groups were conducted with uninsured Latino mothers who were caring for at least one child in their household. Seventeen mothers participated in each community. All focus groups were conducted by the same trained staff from a non-profit, community-based research organization. Results: Uninsured Latino mothers in Minnesota rated the quality of health care services in their community to be much higher than their Texas counterparts, but were more likely to emphasize the high costs of care and health insurance coverage. Participants in Texas also described having to go to Mexico to obtain health care services. Conclusions: Policies making provision for health care services to the uninsured are likely to be more effective when they take into account the context or composition of each specific local health care system as well as the financial and non-financial spillovers that these uninsurance-related contexts generate.
Bibliographical noteFunding Information:
This research was supported in part by a grant from CURA's New Initiatives program, the Agency for Healthcare Research and Quality (grant number R24HS017003 ), and the Centers for Disease Control and Prevention (grant number 1H75DP001812-01 ). Views and opinions of, and endorsements by, the authors do not reflect those of the Agency for Healthcare Research and Quality or the Centers for Disease Control and Prevention. The authors acknowledge the contributions of the Hispanic Advocacy and Community Empowerment through Research (HACER) staff and the study participants who shared their experiences with us.