Health center trends, 1994-2001: What do they portend for the federal growth initiative?

Health Affairs

Volumn 24, Issue 2, 2005, Pages 465-472

  O'Malley, Ann S ^a   Forrest, Christopher B ^b   Politzer, Robert M ^c   Wulu, John T ^d   Shi, Leiyu ^b  

^a CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c HEALTH RESOURCES AND SERVICES ADMINISTRATION   (United States)

^d NONE

Author keywords

[No Author keywords available]

Indexed keywords

AGE DISTRIBUTION; ARTICLE; ETHNIC DIFFERENCE; GOVERNMENT; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH CENTER; HEALTH INSURANCE; HEALTH SERVICES RESEARCH; HUMAN; PATIENT CARE; PREVENTIVE HEALTH SERVICE; PRIMARY MEDICAL CARE; RACE DIFFERENCE; UNITED STATES;

COMMUNITY HEALTH CENTERS; CONTINENTAL POPULATION GROUPS; CONTINUITY OF PATIENT CARE; ETHNIC GROUPS; FEDERAL GOVERNMENT; HUMANS; INSURANCE COVERAGE; PREVENTIVE HEALTH SERVICES; PRIMARY HEALTH CARE; SOCIAL JUSTICE; UNITED STATES;

EID: 17344367460     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.24.2.465     Document Type: Article

References (39)

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2. The Health Centers Consolidation Act of 1996 (P.L. 104-299, 110 Stat. 3626).
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4. Department of Health and Human Services, "FY 2002 Budget Submission and Justification of Estimates for Appropriations Committee" (Rockville, Md: DHHS, 2001).
5. BPHC, "Data from the Uniform Data System."
6. M. Falik et al., "Ambulatory Care Sensitive Hospitalizations and Emergency Visits: Experiences of Medicaid Patients Using Federally Qualified Health Centers," Medical Care 39, no. 6 (2001): 551-561.
7. C. Ulmer et al., "Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice," Journal of Ambulatory Care Management 23, no. 1 (2000): 23-38; V.A. Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents," Archives of Pediatrics and Adolescent Medicine 150, no. 6 (1996): 603-608; K.D. Frick and J. Regan, "Whether and Where Community Health Center Users Obtain Screening Services," Journal of Health Care for the Poor and Underserved 12, no. 4 (2001): 429-445; A.S. O'Malley and J. Mandelblatt, "Delivery of Preventive Services for Low-Income Persons over Age Fifty: A Comparison of Community Health Clinics to Private Doctors' Offices," Journal of Community Health 28, no. 3 (2003): 185-197; and J. Regan et al., "The Role of Federally Funded Health Centers in Serving the Rural Population," Journal of Rural Health 19, no. 2 (2003): 117-124.
8. C. Ulmer et al., "Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice," Journal of Ambulatory Care Management 23, no. 1 (2000): 23-38; V.A. Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents," Archives of Pediatrics and Adolescent Medicine 150, no. 6 (1996): 603-608; K.D. Frick and J. Regan, "Whether and Where Community Health Center Users Obtain Screening Services," Journal of Health Care for the Poor and Underserved 12, no. 4 (2001): 429-445; A.S. O'Malley and J. Mandelblatt, "Delivery of Preventive Services for Low-Income Persons over Age Fifty: A Comparison of Community Health Clinics to Private Doctors' Offices," Journal of Community Health 28, no. 3 (2003): 185-197; and J. Regan et al., "The Role of Federally Funded Health Centers in Serving the Rural Population," Journal of Rural Health 19, no. 2 (2003): 117-124.
9. C. Ulmer et al., "Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice," Journal of Ambulatory Care Management 23, no. 1 (2000): 23-38; V.A. Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents," Archives of Pediatrics and Adolescent Medicine 150, no. 6 (1996): 603-608; K.D. Frick and J. Regan, "Whether and Where Community Health Center Users Obtain Screening Services," Journal of Health Care for the Poor and Underserved 12, no. 4 (2001): 429-445; A.S. O'Malley and J. Mandelblatt, "Delivery of Preventive Services for Low-Income Persons over Age Fifty: A Comparison of Community Health Clinics to Private Doctors' Offices," Journal of Community Health 28, no. 3 (2003): 185-197; and J. Regan et al., "The Role of Federally Funded Health Centers in Serving the Rural Population," Journal of Rural Health 19, no. 2 (2003): 117-124.
10. C. Ulmer et al., "Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice," Journal of Ambulatory Care Management 23, no. 1 (2000): 23-38; V.A. Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents," Archives of Pediatrics and Adolescent Medicine 150, no. 6 (1996): 603-608; K.D. Frick and J. Regan, "Whether and Where Community Health Center Users Obtain Screening Services," Journal of Health Care for the Poor and Underserved 12, no. 4 (2001): 429-445; A.S. O'Malley and J. Mandelblatt, "Delivery of Preventive Services for Low-Income Persons over Age Fifty: A Comparison of Community Health Clinics to Private Doctors' Offices," Journal of Community Health 28, no. 3 (2003): 185-197; and J. Regan et al., "The Role of Federally Funded Health Centers in Serving the Rural Population," Journal of Rural Health 19, no. 2 (2003): 117-124.
11. C. Ulmer et al., "Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice," Journal of Ambulatory Care Management 23, no. 1 (2000): 23-38; V.A. Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents," Archives of Pediatrics and Adolescent Medicine 150, no. 6 (1996): 603-608; K.D. Frick and J. Regan, "Whether and Where Community Health Center Users Obtain Screening Services," Journal of Health Care for the Poor and Underserved 12, no. 4 (2001): 429-445; A.S. O'Malley and J. Mandelblatt, "Delivery of Preventive Services for Low-Income Persons over Age Fifty: A Comparison of Community Health Clinics to Private Doctors' Offices," Journal of Community Health 28, no. 3 (2003): 185-197; and J. Regan et al., "The Role of Federally Funded Health Centers in Serving the Rural Population," Journal of Rural Health 19, no. 2 (2003): 117-124.
12. Research Triangle Institute, 2002 Community Health Center User and Visit Survey, Final Methodology Report, Contract no. CHHS-282-98-0022, prepared for HRSA (Research Triangle Park, N.C.: RTI, 13 December 2002); and Mathematica Policy Research, Community Health Center User and Visit Study, Survey Methodology Report, prepared by G.J. Carcagno et al. for HRSA (Princeton, N.J.: MPR, 29 August 1997).
13. Research Triangle Institute, 2002 Community Health Center User and Visit Survey, Final Methodology Report, Contract no. CHHS-282-98-0022, prepared for HRSA (Research Triangle Park, N.C.: RTI, 13 December 2002); and Mathematica Policy Research, Community Health Center User and Visit Study, Survey Methodology Report, prepared by G.J. Carcagno et al. for HRSA (Princeton, N.J.: MPR, 29 August 1997).
14. Section 330 of the Public Health Service Act funds the grant program for CHCs to provide primary and preventive health care services in medically underserved areas throughout the United States and its territories.
15. I b i d.
16. I b i d.
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18. R.E. Folsom Jr. and A.C. Singh, "The Generalized Exponential Model for Sampling Weight Calibration for Extreme Values, Nonresponse, and Poststratification," 2000, www.amstat.org/sections/srms/Proceedings, pp. 598-603 (9 December 2004); and Proc Survey Means in SAS 9.00.
19. J.P. Weiner and C. Abrams, eds., The Johns Hopkins ACG Case-Mix System, February 2000, acg.jhsph .edu (9 December 2004).
20. C.B. Forrest and R.J. Reid, "Prevalence of Health Problems and Primary Care Physicians' Specialty Referral Decisions," Journal of Family Practice 50, no. 5 (2001): 427-432.
21. U.S. Bureau of the Census data for the noninstitutionalized U.S. civilian population, 1994 and 2000, Census 2001, factfinder.census.gov/servlet/ DatasetMainPageServlet? (20 January 2005).
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23. D.R. Hawkins Jr. and S. Rosenbaum, "The Challenges Facing Health Centers in a Changing Health Care System," in The Future US. Healthcare System: Who Will Care for the Poor and Uninsured? ed. S. Altman, U. Reinhardt, and A. Shields (Chicago: Health Administration Press, 1998).
24. N.L. Stacy, "The Experience and Performance of Community Health Centers under Managed Care," American Journal of Managed Care 6, no. 11 (2000): 1229-1239; and BPHC, "Data from the UDS."
25. N.L. Stacy, "The Experience and Performance of Community Health Centers under Managed Care," American Journal of Managed Care 6, no. 11 (2000): 1229-1239; and BPHC, "Data from the UDS."
26. Hawkins and Rosenbaum, "The Challenges Facing Health Centers."
27. BPHC, "Data from the UDS."
28. J.Z. Ayanian et al., "Unmet Health Needs of Uninsured Adults in the United States," Journal of the American Medical Association 284, no. 16 (2000): 2061-2069.
29. See Physicians for Human Rights, "The Right to Equal Treatment: An Annotated Bibliography of Studies on Racial and Ethnic Disparities in Healthcare, Their Causes, and Related Issues," 2003, www.phrusa.org/ research/domestic/race/race_report/bibliography.html (9 December 2004).
30. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents"; and O'Malley et al., "Delivery of Preventive Services."
31. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents"; and O'Malley et al., "Delivery of Preventive Services."
32. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents"; and O'Malley et al., "Delivery of Preventive Services."
33. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; Hedberg et al., "The Role of Community Health Centers in Providing Preventive Care to Adolescents"; and O'Malley et al., "Delivery of Preventive Services."
34. M.O. Mundinger, "Twenty-First-Century Primary Care: New Partnerships between Nurses and Doctors," Academic Medicine 77, no. 8 (2002): 776-780.
35. Research Triangle Institute and Mathematica Policy Research methodology reports (see Note 8).
36. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; and Regan et al., "The Role of Federally Funded Health Centers."
37. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; and Regan et al., "The Role of Federally Funded Health Centers."
38. Falik et al., "Ambulatory Care Sensitive Hospitalizations"; Ulmer et al., "Assessing Primary Care Content"; and Regan et al., "The Role of Federally Funded Health Centers."
39. BPHC, "Data from the UDS."