Methods We used case study methodology and tailored the intervention and analysis to each unique case (i.e. health department). An experienced Knowledge Broker supported each case through a variety of strategies: large-group training with front-line staff; one-on-one consultation with specialists, guiding them through a structured EIDM process; and advice to management on organizational policie...

BACKGROUND Health services research of Latinos with limited English proficiency (LEP) have largely focused on studying disparities related to patient-provider communication. Less is known about their non-provider interactions such as those with patient registration systems and clinic front office staff; these interactions precede the encounter with providers and may shape how comfortable patien...

Family practice is a unique venue for tobacco intervention because of primary care’s access to the smoking population, its capacity for long-term follow-up, and its being widely regarded by smokers as an appropriate place to get help with smoking cessation. Clinical tobacco intervention, with its multiple components, is a highly effective measure that merits widespread delivery. Clinical tobacc...