Scholars@Duke
Viviana Sandra Martinez-Bianchi

Viviana Sandra Martinez-Bianchi

Professor in Family Medicine and Community Health
Family Medicine and Community Health, Family Medicine
viviana.martinezbianchi@duke.edu
Family Medicine Center, Picken, 3886 DUMC, Durham, NC 27710

Scholarly Works - Journal articles

Medicaid Expansion for La Comunidad Latina in North Carolina: Community Health Workers' Role in Outreach.

Journal article J Racial Ethn Health Disparities · March 7, 2026 PURPOSE: The Fostering Insurance Enrollment among Latinos in North Carolina (FIEL-NC) Project evaluated the experiences of Latino/a/e/x or Hispanic individuals (herein referred to as la comunidad Latina, as preferred by the community) with Medicaid enrollm ... Full text Link to item Cite

Medicaid Is an Important Driver of a Healthier North Carolina, But Not Enough to Dismantle Persistent Health Inequities.

Journal article N C Med J · December 23, 2025 Medicaid expansion has improved coverage for low-income North Carolinians, but persistent racial and geographic inequities limit its impact. Despite early gains and innovative social-care pilots, Black and Hispanic communities continue to face barriers to ... Full text Link to item Cite

No Data, No Problem: Quantifying Latine Individuals Eligible for but Not Enrolled in Medicaid or Affordable Care Act Marketplace-Based Insurance in North Carolina.

Journal article Milbank Q · September 2025 Policy Points Latine communities in the United States experience disproportionately high uninsurance rates because of systemic barriers, including limited language equity, lack of provider (clinical or nonclinical) concordance, discrimination, misinformati ... Full text Link to item Cite

Models of global primary care post-2030.

Journal article Lancet Prim Care · September 2025 Primary care is currently a central focus in global health policy; however, renewed attention has not translated into the investment needed to build systems that are fit for the future. As 2030 approaches, many health systems are converging towards primary ... Full text Open Access Link to item Cite

Ethical Considerations and Recommendations for Humanizing Immigrant Language in Health Equity Data Collection, Reporting, and Measurement.

Journal article Health Equity · 2025 Collecting accurate and consistent sociodemographic data is needed to improve health measurement and public health interventions. Missing or inaccurate data hinders the adequate assessment of the state of access, quality, and coverage in the overall popula ... Full text Link to item Cite

Family and community medicine workforce training and practice in the Americas.

Journal article Rev Panam Salud Publica · 2025 OBJECTIVES: This study sought to analyze the current state of the training for and practice of family medicine and family and community medicine to identify gaps and opportunities to implement strategic actions to strengthen the health workforce. METHODS: ... Full text Link to item Cite

¿No Hay Racismo?: application of the levels of racism framework to Latinx perspectives on barriers to health and wellbeing.

Journal article BMC Public Health · August 5, 2024 BACKGROUND: The purpose of this study is to increase understanding of the forms of systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified by Latinx community health workers (CHWs) and community-based ... Full text Open Access Link to item Cite

We Are Not All the Same: Implications of Heterogeneity Among Latiné/e/x/o/a, Hispanic, and Spanish Origin People.

Journal article Ann Fam Med · 2024 There is great variation in the experiences of Latiné/e/x/o/a, Hispanic, and/or Spanish origin (LHS) individuals in the United States, including differences in race, ancestry, colonization histories, and immigration experiences. This essay calls readers to ... Full text Open Access Link to item Cite

Systemic Racism Affecting Latinx Population Health During the COVID-19 Pandemic and Beyond: Perspectives of Latinx Community Health Workers and Community-Based Organization Leaders.

Journal article Health Equity · 2023 INTRODUCTION: The purpose of this study is to identify forms of systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified by Latinx community health workers (CHWs) and community-based organization (CBO) ... Full text Open Access Link to item Cite

Promoting Latinx health equity through community-engaged policy and practice reforms in North Carolina.

Journal article Front Public Health · 2023 INTRODUCTION: The Latinx Advocacy Team & Interdisciplinary Network for COVID-19 (LATIN-19) is a unique multi-sector coalition formed early in the COVID-19 pandemic to address the multi-level health inequities faced by Latinx communities in North Carolina. ... Full text Open Access Link to item Cite

LATIN-19: A Grassroots Coalition to Mitigate the Effect of COVID-19 on the Latinx Community in North Carolina.

Journal article Prog Community Health Partnersh · 2022 BACKGROUND: Social inequity is a primary driver of health disparities, creating multiple barriers to good health. These inequities were exacerbated during the coronavirus disease 2019 (COVID-19) pandemic, with Latinx communities suffering more than others. ... Full text Link to item Cite

[The Global Patient Safety Action Plan 2021-2030: Identifying actions for safer primary health care].

Journal article Aten Primaria · December 2021 The 74th World Health Assembly adopted in May 2021 the "Global Patient Safety Action Plan: 2021-2030" to enhance patient safety as an essential component in the design, procedures and performance evaluation of health systems worldwide. It is a strategic pl ... Full text Open Access Link to item Cite

Racial, Ethnic, and Geographic Disparities in Novel Coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) Test Positivity in North Carolina.

Journal article Open Forum Infect Dis · January 2021 BACKGROUND: Emerging evidence suggests that black and Hispanic communities in the United States are disproportionately affected by coronavirus disease 2019 (COVID-19). A complex interplay of socioeconomic and healthcare disparities likely contribute to dis ... Full text Open Access Link to item Cite

Partnerships to Care for Our Patients and Communities During COVID-19.

Journal article J Am Board Fam Med · 2021 The Coronavirus disease 2019 (COVID-19) pandemic forced not only rapid changes in how clinical care and educational programs are delivered but also challenged academic medical centers (AMCs) like never before. The pandemic made clear the need to have coord ... Full text Open Access Link to item Cite

A Checklist for Implementing Rural Pathways to Train, Develop and Support Health Workers in Low and Middle-Income Countries.

Journal article Front Med (Lausanne) · 2020 Background: There is an urgent need to scale up global action on rural workforce development. This World Health Organization-sponsored research aimed to develop a Rural Pathways Checklist. Its purpose was to guide the practical implementation of rural work ... Full text Open Access Link to item Cite

What Is Population Health?

Journal article Prim Care · December 2019 This article defines population health as the health outcomes of a group of individuals, including the distribution of such outcomes within the group. Population health includes health outcomes, patterns of health determinants, and policies and interventio ... Full text Link to item Cite

Community and Stakeholder Engagement.

Journal article Prim Care · December 2019 Improving population health in a sustainable way requires collaboration within the medical community and also working through partnerships among multiple community and societal stakeholders. One example of stakeholder engagement is engagement of the commun ... Full text Link to item Cite

Addressing Family Medicine's Capacity to Improve Health Equity Through Collaboration, Accountability and Coalition-Building.

Journal article Fam Med · February 2019 Achieving health equity requires an evaluation of social, economic, environmental, and other factors that impede optimal health for all. Family medicine has long valued an ecological perspective of health, partnering with families and communities. However, ... Full text Link to item Cite

Collaborating to Achieve the Optimal Family Medicine Workforce.

Journal article Fam Med · February 2019 When the Family Medicine for America's Health (FMAHealth) Workforce Education and Development Tactic Team (WEDTT) began its work in December 2014, one of its charges from the FMAHealth Board was to increase family physician production to achieve the divers ... Full text Link to item Cite

A Framework for Resident Participation in Population Health.

Journal article Acad Med · January 2019 Population health experiences have become more common in medical education. Yet, most resident population health experiences are in patient panel management and fail to connect with the rapidly growing movement of cross-sector, data-driven, and community-l ... Full text Open Access Link to item Cite

The Primary Care Spend Model: a systems approach to measuring investment in primary care.

Journal article BMJ Glob Health · 2019 Increased investment in primary care is associated with lower healthcare costs and improved population health. The allocation of scarce resources should be driven by robust models that adequately describe primary care activities and spending within a healt ... Full text Open Access Link to item Cite

Dr Carek's Commentary on Training PAs and NPs.

Journal article Fam Med · October 2016 Link to item Cite

Dr. Carek's Commentary on Training PAs and NPs

Journal article Family medicine · October 1, 2016 Link to item Cite

The Emergency Physical.

Journal article Fam Med · September 2016 Link to item Cite

Preparing the Next Generation of Family Physicians to Improve Population Health: A CERA Study.

Journal article Fam Med · 2015 BACKGROUND AND OBJECTIVES: Family medicine leaders cite population health as a key tenet in the strategic plan outlining family medicine's role in improving America's health. Yet little is known about current practice in training family physicians in this ... Link to item Cite

Course on care of patients with chronic illness: patient-centered medical home model.

Journal article Educ Health (Abingdon) · 2014 BACKGROUND: In the United States, the Patient-centered Medical Home (PCMH) is an emerging concept in primary care that is guiding clinical reorganization to meet the needs of patients with chronic illness. We developed a one-semester curriculum to teach th ... Full text Link to item Cite

Teaching population health: a competency map approach to education.

Journal article Acad Med · May 2013 A 2012 Institute of Medicine report is the latest in the growing number of calls to incorporate a population health approach in health professionals' training. Over the last decade, Duke University, particularly its Department of Community and Family Medic ... Full text Open Access Link to item Cite

The Emergency Physical

Journal article Family Medicine Open Access Link to item Cite