Evidence map›Paper›PMID 32502193›Full record

ArticlePloS one2020

Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan.

Monika Doshi, William D Lopez, Hannah Mesa, Richard Bryce, Ellen Rabinowitz, Raymond Rion, Paul J Fleming

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Fertility intentions among undocumented immigrants: Exploratory results from a mixed-methods survey in California.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2026
    Article
  6. Article
  7. Article
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  9. Latine Immigrant Perspectives on Trust of Clinical Research.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2025
    Article
  10. Article
  11. Article
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  13. Bridging Gaps: Provider Perspectives on Integrating Systems for Health Equity.International journal of environmental research and public health · 2025
    Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Monika DoshiDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.ORCID 0000-0002-3334-3072
William D LopezDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.
Hannah MesaDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.
Richard BryceCommunity Health and Social Services (CHASS) Center, Detroit, MI, United States of America.
Ellen RabinowitzWashtenaw Health Plan, Ypsilanti, MI, United States of America.
Raymond RionPackard Health, Ann Arbor, MI, United States of America.
Paul J FlemingDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
TRAINING IN SOCIAL AND ECONOMIC DEMOGRAPHYT32HD007339 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 1987 to 2026
$14.9M
NCATS NIH HHS UL1 TR002240NICHD NIH HHS T32 HD007339
6 · The paper itself

Abstract

Immigration- and enforcement-related policies and laws have significantly and negatively impacted the health and well-being of undocumented immigrants. We examine barriers and facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrants specifically in the post 2016 US presidential election socio-political climate. By grounding our study on the perspectives of frontline providers, we explore their challenges in meeting the needs of their undocumented clients. These include client access to healthcare and social services, the barriers providers face in providing timely and effective services, and avenues to reduce or overcome factors that impede service provision to improve quality of care for this population. Data are from 28 in-depth interviews with frontline healthcare and social service providers. Based on data analysis, we found that the domains of the Three Delays Model used in obstetric care provided a good framework for organizing and framing the responses. Our findings suggest that these undocumented clients encounter three phases of delay: delay in the decision to seek care, delay in identifying and traveling to healthcare facilities, and delay in receiving adequate and appropriate care at healthcare facilities. Given the current socio-political climate for immigrants, healthcare and social services organizations that serve undocumented clients should adapt existing services or introduce new services, including those that are not site-based.

Indexed as

Health Services AccessibilityHispanic or LatinoSocial WorkUndocumented ImmigrantsDelivery of Health CareFemaleHealth PersonnelHumansInterviews as TopicMaleMichiganTime-to-Treatment

Identifiers

PMID32502193
PMCPMC7274400

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.