scholarly journals The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans

2015 ◽  
Vol 105 (3) ◽  
pp. 1067-1104 ◽  
Author(s):  
Martha J. Bailey ◽  
Andrew Goodman-Bacon
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Older Americans ◽  
Access To Primary Care ◽  
One Year ◽  
Universal Health ◽  
Medicine Community ◽  
Percent Decrease

This paper uses the rollout of the first Community Health Centers (CHCs) to study the longer-term health effects of increasing access to primary care. Within ten years, CHCs are associated with a reduction in age-adjusted mortality rates of 2 percent among those 50 and older. The implied 7 to 13 percent decrease in one-year mortality risk among beneficiaries amounts to 20 to 40 percent of the 1966 poor/non-poor mortality gap for this age group. Large effects for those 65 and older suggest that increased access to primary care has longer-term benefits, even for populations with near universal health insurance. (JEL H75, I12, I13, I18, I32, I38, J14)

scholarly journals The Role of Community Health Centers in Reducing Racial Disparities in Spatial Access to Primary Care

2017 ◽  
Vol 8 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Jane W. Seymour ◽  
Daniel E. Polsky ◽  
Elizabeth J. Brown ◽  
Corentin M. Barbu ◽  
David Grande
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Racial Minorities ◽  
Health Centers ◽  
Spatial Accessibility ◽  
Racial Composition ◽  
Public Insurance ◽  
Access To Primary Care ◽  
Primary Care Practices

Introduction: Racial minorities are more likely to live in primary care shortage areas. We sought to understand community health centers’ (CHCs) role in reducing disparities. Methods: We surveyed all primary care practices in an urban area, identified low access areas, and examined how CHCs influence spatial accessibility. Results: Census tracts with higher rates of public insurance (≥40% vs <10%, odds ratio [OR] = 31.06, P < .001; 30-39% vs 10%, OR = 7.84, P = 0.001) were more likely to be near a CHC and those with moderate rates of uninsurance (10%-19% vs <10%, OR = 0.42, P = .045) were less likely. Racial composition was not associated with proximity. Tracts close to a CHC were less likely (OR = 0.11, P < .0001) to be in a low access area. This association did not differ based on racial composition. Discussion: Although CHCs were more likely to be in areas with a greater fraction of racial minorities, location was more strongly influenced by public insurance rates. CHCs reduced the likelihood of being in low access areas but the effect did not vary by tract racial composition.

Building Improvement Capacity to Create Strong, Effective Primary Care Teams in Community Health Centers

2019 ◽  
Vol 45 (12) ◽  
pp. 838-840
Author(s):  
Kathleen Dwiel ◽  
Taylor Weilnau ◽  
Lindsay Hunt ◽  
Jennifer Azzara ◽  
Russell Phillips ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Primary Care Teams

Primary Care of Patients without Insurance by Community Health Centers

2001 ◽  
Vol 24 (2) ◽  
pp. 47-59 ◽  
Author(s):  
Barbara Lepidus Carlson ◽  
Jill Eden ◽  
Daniel OʼConnor ◽  
Jerrilynn Regan
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers
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