Journal ArticleDOI
Access To Specialty Care And Medical Services In Community Health Centers
Nakela L. Cook,LeRoi S. Hicks,A. James O'Malley,Thomas Keegan,Edward Guadagnoli,Bruce E. Landon +5 more
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TLDR
Access to specialty health services for patients receiving care in CHCs is evaluated, using a survey of medical directors of all federally qualified CHCs in the United States in 2004 to report that uninsured patients had greater difficulty obtaining access to off-site specialty services.Abstract:
Although community health centers (CHCs) provide primary health services to the medically underserved and poor, limited access to off-site specialty services may lead to poorer outcomes among underinsured CHC patients. This study evaluates access to specialty health services for patients receiving care in CHCs, using a survey of medical directors of all federally qualified CHCs in the United States in 2004. Respondents reported that uninsured patients had greater difficulty obtaining access to off-site specialty services, including referrals and diagnostic testing, than did patients with Medicaid, Medicare, or private insurance.read more
Citations
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Social Determinants of Risk and Outcomes for Cardiovascular Disease A Scientific Statement From the American Heart Association
Edward P. Havranek,Mahasin S. Mujahid,Donald A. Barr,Irene V. Blair,Meryl S. Cohen,Salvador Cruz-Flores,George Davey-Smith,Cheryl Dennison-Himmelfarb,Michael S. Lauer,Debra W. Lockwood,Milagros C. Rosal,Clyde W. Yancy +11 more
TL;DR: An Institute of Medicine report documents the decline in the health status of Americans relative to people in other high-income countries, concluding that “Americans are dying and suffering from illness and injury at rates that are demonstrably unnecessary.
Journal ArticleDOI
Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers
Sanjeev Arora,Karla Thornton,Glen H. Murata,Paulina Deming,Summers Kalishman,Denise Dion,Brooke Parish,Thomas F. Burke,Wesley Pak,Jeffrey C. Dunkelberg,Martin Kistin,John B. Brown,Steven M. Jenkusky,Miriam Komaromy,Clifford Qualls +14 more
TL;DR: The results of this study show that the ECHO model is an effective way to treat HCV infection in underserved communities and implementation of this model would allow other states and nations to treat a greater number of patients infected with HCV than they are currently able to treat.
Journal ArticleDOI
Dropping the baton: specialty referrals in the United States.
TL;DR: There are breakdowns and inefficiencies in all components of the specialty-referral process.
Journal ArticleDOI
Partnering Urban Academic Medical Centers And Rural Primary Care Clinicians To Provide Complex Chronic Disease Care
Sanjeev Arora,Summers Kalishman,Denise Dion,Dara Som,Karla Thornton,Arthur D. Bankhurst,Jeanne Boyle,Michelle Harkins,Kathleen Moseley,Glen H. Murata,Miriam Komaramy,Joanna G. Katzman,Kathleen Colleran,Paulina Deming,Sean Yutzy +14 more
TL;DR: In New Mexico an innovative new model of health care education and delivery known as Project ECHO provides high-quality primary and specialty care to a comparable population.
Journal ArticleDOI
Health Care Reform and Primary Care — The Growing Importance of the Community Health Center
TL;DR: The Patient Protection and Affordable Care Act enables community health centers to serve nearly 20 million new patients while adding an estimated 15,000 providers to their staffs by 2015.
References
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Journal ArticleDOI
Some necessary conditions for common-factor analysis
TL;DR: In this article, the Spearman-Thurstone type of multiple common-factor structure cannot hold for the infinite universe of content from which the sample of observed variables is selected.
Journal ArticleDOI
Resident physicians' preparedness to provide cross-cultural care.
Joel S. Weissman,Joseph R. Betancourt,Eric G. Campbell,Elyse R. Park,Minah Kim,Brian R. Clarridge,David Blumenthal,Karen C. Lee,Angela W. Maina +8 more
TL;DR: In this paper, a survey was conducted to assess residents' attitudes about cross-cultural care, perceptions of their preparedness to deliver quality care to diverse patient populations, and educational experiences and educational climate regarding cross-culture training.
Resident Physicians' Preparedness to Provide Cross-Cultural Care: Implications for Clinical Care and Medical Education Policy
TL;DR: Residents' self-reported preparedness to deliver cross-cultural care lags well behind preparedness in other clinical and technical areas, and mixed educational messages indicate the need for significant improvement inCross-cultural education to help eliminate racial and ethnic disparities in health care.
Journal ArticleDOI
Vulnerability and unmet health care needs. The influence of multiple risk factors.
Leiyu Shi,Gregory D. Stevens +1 more
TL;DR: Unmet health care needs due to cost increased with higher risk profiles for each racial and ethnic group, and whites were more likely than other racial/ethnic groups to report unmet needs.
Journal ArticleDOI
Primary care safety-net delivery sites in the United States: A comparison of community health centers, hospital outpatient departments, and physicians' offices.
TL;DR: The greater service intensity and poorer continuity for primary care visits in hospital outpatient departments that the authors observed raises concern about the suitability of these clinics as primary care delivery sites.