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HRSA-funded Health Centers Are an Important Source of Care and Reduce Unmet Needs in Primary Care Services

Dados Bibliográficos

ID9102679
AutoresNadereh Pourat (0000-0001-5118-1188, UCLA Center for Health Policy Research, Los Angeles, CA, autor correspondente), Xiao Chen (0000-0001-5474-0205, UCLA Center for Health Policy Research, Los Angeles, CA, autor correspondente), Christopher Lee (0000-0002-2214-0376, UCLA Center for Health Policy Research, Los Angeles, CA), Christopher S Lee (0000-0002-2510-4071, Center For Policy Research, autor correspondente), Weihao Zhou (0000-0003-1338-5256, UCLA Center for Health Policy Research, Los Angeles, CA, autor correspondente), Marlon Daniel (Health Resources and Services Administration), Hank Hoang (0000-0001-8538-8515, Health Resources and Services Administration), Ravi Sharma (0000-0002-3892-276X, Health Resources and Services Administration), Hwa Sim (Oak Ridge Associated Universities, Oak Ridge Institute for Science and Education, Oak Ridge, TN), Alek Sripipatana (0000-0002-3078-0111, Health Resources and Services Administration), Suma Nair (0000-0003-1144-7513, Health Resources and Services Administration)
Ano2019
Volume57
Fascículo12
Páginas996-1001
Data de publicação2019-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001206
PMID31730569
OpenAlexW2972652770
IdiomaEN
Citações recebidas3
Referências citadas16

BACKGROUND: Evidence indicates the unmet need for primary care services including medical, mental health, and dental care is greater among uninsured and Medicaid beneficiaries than privately insured individuals, many of whom use Health Resources and Services Administration-funded health centers (HRSA HCs). OBJECTIVE: We examined differences in rates of unmet need between low-income uninsured and Medicaid patients of HRSA HCs and safety-net clinics in general or private physicians. RESEARCH DESIGN: We used logistic regression models to compare the predicted probabilities of unmet need for uninsured and Medicaid individuals whose usual source of care is HRSA HCs versus clinics in general or private physicians. SAMPLE: We used a nationally representative survey of low income, adult patients who identified HRSA HCs as their usual source of care. We used the National Health Interview Survey to independently identify low-income individuals whose usual source of care was clinics (National Health Interview Survey clinics) or physicians (National Health Interview Survey physicians) in the general population. MEASURES: Dependent variables were unmet need and delay in medical care, and unmet need for prescription medications, mental health, and dental care. The primary independent variable of interest was the usual source of care. We controlled for potential confounders. RESULTS: We found the probability of unmet need for medical and dental care to be lower among HRSA HC patients than individuals whose usual source of care were not HRSA HCs. CONCLUSIONS: HRSA HC patients have lower probabilities of unmet need for medical and dental care. This is likely because HRSA HCs provide accessible, affordable, and comprehensive primary care services. Expanding capacity of these organizations will help reduce unmet need and its consequences

Environmental health · Family medicine · Health care · Logistic regression · Medicaid · Medical prescription · MEDLINE · Mental health · National Health Interview Survey · Population · Psychiatry · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes

  • Health System Expansion and Changes in Medicare Beneficiary Utilization of Safety Net Providers

    Kun Li, José J Escarce et al.•Medical Care•2025

  • Differences in Health Care Utilization of High-Need and High-Cost Patients of Federally Funded Health Centers Versus Other Primary Care Providers

    Nadereh Pourat, Xiao Chen et al.•Medical Care•2024

  • Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children

    Ashley M Kranz, Isaac M Opper et al.•Medical Care•2021

  • The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care

    Open Access•J Lee Hargraves, Jack Hadley•Health Services Research•2003

  • Insurance Status, Use of Mental Health Services, and Unmet Need for Mental Health Care in the United States

    Elizabeth Reisinger Walker, Janet R Cummings et al.•Psychiatric Services•2015

  • Is Health Insurance Enough? A Usual Source of Care may be More Important to Ensure a Child Receives Preventive Health Counseling

    Open Access•Jennifer E Devoe, Carrie J Tillotson et al.•Maternal and Child Health Journal•2011

  • Assessing the contribution of the dental care delivery system to oral health care disparities

    Open Access•Nadereh Pourat, Ronald Andersen et al.•Journal of Public Health Dentistry•2014

  • Differences Between Symptom-Specific and General Survey Questions of Unmet Need in Measuring Insurance and Racial/Ethnic Disparities in Access to Care

    Peter J Cunningham, Peter Cunningham et al.•Medical Care•2007

  • Access to Care for U.S. Health Center Patients and Patients Nationally

    Leiyu Shi, Gregory D Stevens et al.•Medical Care•2007

Obras citantes distintas3
Citações por ano0,6
Intervalo de citações2021 - 2025 (5)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 3
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