In September 2018, LPPI launched rapid-response policy project to address California’s Latino physician crisis to increase the health and well-being of all Californians. The capacity of California’s health care workforce to meet the needs of all residents is a chief policy concern for state leaders, and LPPI’s interdisciplinary team of research scientists will provide compelling evidence to support policy reforms that integrate the needs of the state’s plurality. LPPI experts leading this project include Dr. David Hayes-Bautista, Professor of Medicine at the Geffen School of Medicine and Center for the Study of Latino Health & Culture; Dr. Arturo Vargas Bustamante, Associate Professor of Health Policy and Management at the Fielding School of Public Health; and Dr. Matt A. Barreto, Professor of Chicana/o Studies and Political Science. Read the full press release here.

LPPI Policy Experts

Addressing the Latino Physician Crisis

Featured Reports

California’s Language Concordance Mismatch:

In California, nearly 44% of the population speaks a language other than English at home, and about 19% of the total state population can be categorized as Limited English Proficient “LEP” (State of California, 2018). The Institute of Medicine has noted that the Limited English Proficiency of some patients may have effects on health status, access to care, health outcomes and patient safety (2009). Click here to read the first LPPI policy brief on California’s Latino Physician Crisis by Dr. Paul Hsu and Dr. David Hayes-Bautista.

5 Centuries to Reach Parity

This policy brief is the first to articulate the direction and magnitude of California’s Latino physician shortage by estimating the number of years it would take for medical schools in California to close the Latino physician gap. This research suggests that if the racial/ethnic composition of California MD graduates persist, it will take upwards of five centuries to fully address the Latino physician shortage.Click here to read the second LPPI policy brief on California’s Latino Physician Crisis by Dr. Paul Hsu and Dr. David Hayes-Bautista.

LPPI Health Infographics

Media Coverage

Media Coverage on LPPI Health Policy

Medical Press, ACA reduced disparities in health care between Mexican-heritage Latinos and other Latinos, (September 4, 2018): “According to lead author Arturo Vargas Bustamante, associate professor of health policy and management in the UCLA Fielding School of Public Health, ‘Our study shows that even though undocumented immigrants were excluded from the Affordable Care Act nationally, in California undocumented Latinos reported marginal increases in health insurance coverage and usual source of care, perhaps because of the specific policies implemented at the state or local level.'”

Mundo Hispanico, Indocumentados en California se beneficiaron con “Obamacare” revela estudio, (September 4, 2018): “Researchers from the UCLA Latino Policy and Politics Initiative analyzed California census data in a study released earlier this month to gather evidence and develop policy solutions to address the shortage of Spanish-speaking physicians in California.”

La Opinion, Obamacare mejoró acceso a salud de todos los latinos En California ayudó incluso a los indocumentados a tener más acceso a salud, (September 4, 2018): “‘La cobertura médica aumentó tanto entre documentados como entre indocumentados, pero estos últimos siguen teniendo menos acceso a seguro’, dijo Arturo Vargas Bustamante, el principal investigador y profesor asociado de política de salud en la Escuela Fielding de Salud Pública de UCLA.”

The Daily Bruin, LPPI study recommends med school students study underrepresented languages, (September 28, 2018): “A pesar de estar excluidos de la Ley de Cuidado de Salud Costeable (ACA), conocida como “Obamacare”, los inmigrantes indocumentados que residen en California se han beneficiado indirectamente de esta medida, según un estudio publicado hoy por la Universidad de California Los Ángeles (UCLA).”

Relevant Research from LPPI Policy Experts

Dr. Paul Hsu, Health Affairs (September 2018)

The historical narrative on diversity, race, and health would predict that California’s population change from 22 percent racial/ethnic minority in 1970 to 62 percent in 2016 would lead to a massive health crisis with high mortality rates, low life expectancy, and high infant mortality rates—particularly given the state’s high rates of negative social determinants of health: poverty, high school incompletion, and uninsurance.

Dr. Arturo Vargas Bustamante, Health Affairs (September 2018)

According to lead author Arturo Vargas Bustamante, associate professor of health policy and management in the UCLA Fielding School of Public Health, “Our study shows that even though undocumented immigrants were excluded from the Affordable Care Act nationally, in California undocumented Latinos reported marginal increases in health insurance coverage and usual source of care, perhaps because of the specific policies implemented at the state or local level.”

Dr. Michelle Bholat, Modern Healthcare (September 2018)

Dr. Michelle Bholat, executive director of the International Medical Graduate Program at UCLA, speaks on the efforts undertaken by the program to address the language disparity between medical professionals and the under served Latino community.

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