Dr. Vu works with Open Door Community Health Centers, who in 1971, started as just one health center with a fervent mission; to improve access to quality health care to all people of Humboldt County, CA. Now 45 years later, Open Door has 13 health clinics and serves one third of the population in Humboldt County.
In an interview with Dr. Kelvin Vu, The National Center for Farmworker Health learned where his passion for providing health care to the underserved originated, how he continues to be a champion for migrant and community health, and how to inspire emerging professionals interested in serving our agricultural workers.
How did the NHSC Scholarship help you pave your career path?
The NHSC paid my way through medical school. It opened a lot of doors for me. For one I didn’t have to worry about the financial part of it, but it also exposed me to learning a lot about primary care, especially primary care in an underserved area. Because of that, I was exposed to different opportunities, which led me to where I am right now; working in a very remote area and providing primary care services to Humboldt County, in Northern California.
What led you to want to champion migrant health in particular?
Coming from an immigrant family I’ve always believed that having access to care for all is a very important thing. Getting access to care to people who normally wouldn’t have it, that’s very important. I was raised to believe that people from a certain background, regardless of what they do, what they believe in, and where they came from should have access to care. I currently work in the underserved communities in Humboldt County; our farmworkers are among those communities.
Open Door Community Health provides easy access to quality care for everyone.
What are some of the challenges you see working closely with underserved and migrant populations?
I can list you several. The first thing is lack of transportation, that’s a big challenge. The second is lack of medical insurance, since a lot of farmworkers are undocumented it’s hard for them to get insurance or even qualify for state or federal sponsored services. The third would be the language barrier, some of the patients do speak English, but a majority of them are non-English speaking. Whether it’s Spanish or other native languages. Another thing would be the cultural barrier. All of these barriers lead to a lack of access to care.
My clinic is working towards eliminating these barriers. We have a department called Mobile Health Services and so we actually provide care by bringing the care to the people, to where they live. That’s how we’re helping with the lack of transportation barrier. There are two exams rooms in our mobile van. We have a running lab and we do everything we can to provide primary care to all of our patients.
To help with the language and cultural barrier we work with promotoras. These are Spanish- speaking health care workers who work closely with me, in not only getting these patients to their appointments, but also help them with follow-up plans. They also help them learn how to manage, for example, diabetes. They are very good at Diabetic education and promoting the importance of diet and exercise.
If a patient needs behavioral health, our promotoras are able set up telemedicine for them. We work with a local California university that speaks Spanish, so they don’t have to worry about the language barrier either.
With the cost of care and lack of insurance, Open Door has a program called the 340B program, where we work with local pharmacies in providing medications at a cost effective price for our patients.
We work hard to eliminate all barriers to accessing quality health.
How often do the mobile services run?
Everyday. Everyday we are at a different location, but Monday we are always at the same location, Tuesday we’re at the same location and so on. This is basically primary care on wheels, as I like to call it.
Patients are able to schedule an appointment and they’re able to walk in.
Our patients can see us for acute issues, chronic issues, and also preventive care issues. Patients can get mammograms and pap smears done in the Mobile Health Services van too.
What would you say to aspiring professionals within the community and migrant health movement?
Figure out what drives you, what are you passionate about? I you are able to find a profession that makes you happy, that will give you financial stability, and that allows you to make a positive impact in your community, that’s what you should aim for. It goes along with my philosophy and everyone’s here at Open Door, we are Americans we live in the land of opportunity, and to have good medical care is a basic right. Great medical care and easy access to care, those two things should always go hand in hand.
It’s my goal and it’s my organization’s goal to have no patient left behind. No matter where they come from, no matter what their background is, they will have easy access to quality health care at the end of the day.
Those would be the two main pieces of advice I would give to professionals and also NHSC recipients.
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