Health reform and the safety net: Big opportunities; major risks

Journal of Law, Medicine and Ethics

Volumn 32, Issue 3, 2004, Pages 426-432

  Siegel, Bruce ^a   Regenstein, Marsha ^a   Shin, Peter ^a  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CONFERENCE PAPER; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH PROGRAM; HEALTH SERVICE;

EID: 5044221649     PISSN: 10731105     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1748-720X.2004.tb00153.x     Document Type: Conference Paper

References (67)

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2. In response to recommendations in the report concerning safety net monitoring, the Agency for Healthcare Research and Quality issued several data reports on key access and outcome indicators related to the safety net, at 〈http://www.ahrq.gov/data/safetynet〉 (last visited June 21, 2004).
3. M. Lewin and S. Altman, eds., America's Health Care Safety Net (Washington, D.C.: National Academy Press, 2000): at 51.
4. Guidelines for Medically Underserved Area and Population Designation, Bureau of Health Professions Website, at 〈http://bhpr.hrsa.gov/shortage/ muaguide.htm〉 (last visited June 21, 2004).
5. B.E. Baily et. al., Experts with Experience Community & Migrant Health Centers Highlighting a Decade of Service (1990-2000) (Washington, D.C.: U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, 2002) "What kinds of patients go to safety net hospitals?" Issue Brief (Washington, D.C.: National Association of Public Hospitals, 2003).
6. B.E. Baily et. al., Experts with Experience Community & Migrant Health Centers Highlighting a Decade of Service (1990-2000) (Washington, D.C.: U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, 2002) "What kinds of patients go to safety net hospitals?" Issue Brief (Washington, D.C.: National Association of Public Hospitals, 2003).
7. M. Lewin and S. Altman, America's Health Care Safety Net (Washington, D.C.: National Academy Press, 2000): at 21.
8. Sec. 330 of the Public Health Service Act, 42 USC Sec. 254b.
9. S. Rosenbaum and A. Dievler, A Literature Review of the Community and Migrant Health Centers Programs (Washington, D.C.: The George Washington University Center for Health Services Research and Policy, 1992).
10. Uniform Data System (UDS), Department of Health and Human Services, Health Resources and Services Administration (2002); Approximately 97 federally-qualified health center "look-alikes" serve another 1 million patients. Like CHCs, look-alikes are located in medically underserved areas and are eligible for cost-based reimbursement under Medicaid and Medicare. However, look-alikes receive no federal funding. S. Rosenbaum and P. Shin, "Health Centers as Safety Net Providers: An Overview and Assessment of Medicaid's Role," Issue Brief (Washington, D.C.: Kaiser Commission on Medicaid and the Uninsured, 2003).
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23. L.S. Gage, "The Future of Safety Net Hospitals," in S. Altman, U.E. Reinhardt, and A.E. Shields, eds., The Future U.S. Healthcare System: Who will Care for the Poor and Uninsured (Chicago, IL: Health Administration Press, 1998).
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33. Singer, et. al., supra note 24.
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37. See, for example: L. Shi, "The Relation Between Primary Care and Life Chances," Journal of Health Care for the Poor and Underserved 2 (1992): 321-35; L. Shi, B. Starfield, B. Kennely, and I. Kavachu, "Income Inequality, Primary Care and Health Indicators," Journal of Family Practice 48 (1999): 275-84.
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47. See, for example, K. Fiscella, P. Frank, M.R. Gold, and C.M. Clancy, "Inequality in Quality: Addressing Socioeconomic, Racial and Ethnic Disparities in Health Care," JAMA 283 (2000): 2579-84; K.S. Collins, D.L. Hughes, M.M. Doty, et. al., Diverse Communities, Common Concerns: Assessing Health Care Quality for Minority Americans (New York, N.Y.: The Commonwealth Fund, 2002); S.H. Zuvekas, R.M. Weinick, and J.W. Cohen, "Racial and Ethnic Differences in Access to and Use of Health Care Services, 1977 to 1996," Medical Care Research and Review 57, sup. 1 (2000): 36-54.
48. See, for example, K. Fiscella, P. Frank, M.R. Gold, and C.M. Clancy, "Inequality in Quality: Addressing Socioeconomic, Racial and Ethnic Disparities in Health Care," JAMA 283 (2000): 2579-84; K.S. Collins, D.L. Hughes, M.M. Doty, et. al., Diverse Communities, Common Concerns: Assessing Health Care Quality for Minority Americans (New York, N.Y.: The Commonwealth Fund, 2002); S.H. Zuvekas, R.M. Weinick, and J.W. Cohen, "Racial and Ethnic Differences in Access to and Use of Health Care Services, 1977 to 1996," Medical Care Research and Review 57, sup. 1 (2000): 36-54.
49. See, for example, K. Fiscella, P. Frank, M.R. Gold, and C.M. Clancy, "Inequality in Quality: Addressing Socioeconomic, Racial and Ethnic Disparities in Health Care," JAMA 283 (2000): 2579-84; K.S. Collins, D.L. Hughes, M.M. Doty, et. al., Diverse Communities, Common Concerns: Assessing Health Care Quality for Minority Americans (New York, N.Y.: The Commonwealth Fund, 2002); S.H. Zuvekas, R.M. Weinick, and J.W. Cohen, "Racial and Ethnic Differences in Access to and Use of Health Care Services, 1977 to 1996," Medical Care Research and Review 57, sup. 1 (2000): 36-54.
50. Smedley, et. al., supra note 36.
51. Presentation by Patricia Gabow, MD, CEO and Medical Director, Denver Health Medical Center, to National Association of Public Hospitals Policy Fellows, March 6, 2002.
52. Presentation by Ben Chu, MD, MPH, President of the New York City Health and Hospitals Corporation, at the National Association of Public Hospitals and Health Systems Annual Meeting, A Vision for the Safety Net. June 20, 2002.
53. R.M. Politzer, J.S. Yoon, R.G. Hughes, and M.H. Gaston, "Inequality in America: the Contribution of Health Centers in Reducing and Eliminating Disparities in Access to Care," Medical Care Research and Review 58, no. 2 (2001): 234-48.
54. The Uniform Data System (UDS) is an annually released dataset on Bureau of Primary Health Care grantee health centers that includes patient demographics, financing, diagnoses, utilization, staffing, and services.
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