BIOMAT Database Logo BIOMAT Database Logo

Access to specialty care and medical services in community health centers. 2007

Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Health Care Policy Department, Harvard Medical School, Boston, USA.

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.

UI MeSH Term Description Entries
D007348 Insurance, Health Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading. Group Health Insurance,Health Insurance,Health Insurance, Voluntary,Health Insurance, Group,Health Insurances,Insurance, Group Health,Insurance, Voluntary Health,Insurances, Health,Voluntary Health Insurance
D008297 Male Males
D008484 Medicaid Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons. Dental Medicaid Program,Medical Assistance, Title 19,Dental Medicaid Programs,Medicaid Program, Dental,Medicaid Programs, Dental,Program, Dental Medicaid,Programs, Dental Medicaid
D008486 Physician Executives Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board. Medical Directors,Director, Medical,Directors, Medical,Medical Director,Executive, Physician,Executives, Physician,Physician Executive
D008507 Medically Underserved Area A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population. National Health Service Corps,Physician Shortage Area,Area, Medically Underserved,Health Service Corps, National,Medically Underserved Population,Area, Physician Shortage,Areas, Medically Underserved,Areas, Physician Shortage,Medically Underserved Areas,Medically Underserved Populations,Physician Shortage Areas,Population, Medically Underserved,Populations, Medically Underserved,Shortage Area, Physician,Shortage Areas, Physician,Underserved Area, Medically,Underserved Areas, Medically,Underserved Population, Medically,Underserved Populations, Medically
D008511 Medicine The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health. Insurance Medicine,Medical Specialities,Medical Specialties,Medical Specialty,Specialities, Medical,Specialties, Medical,Specialty, Medical,Insurance Medicines,Medical Speciality,Medicine, Insurance,Medicines, Insurance,Speciality, Medical
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011203 Poverty A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level. Federal Poverty Level,Federal Poverty Threshold,Indigency,Low-Income Population,Absolute Poverty,Extreme Poverty,Indigents,Low Income Population,Federal Poverty Levels,Indigent,Level, Federal Poverty,Low Income Populations,Low-Income Populations,Population, Low Income,Population, Low-Income,Poverty Level, Federal,Poverty Threshold, Federal,Poverty, Absolute,Poverty, Extreme
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D012017 Referral and Consultation The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide. Consultation,Gatekeepers, Health Service,Hospital Referral,Second Opinion,Consultation and Referral,Health Service Gatekeepers,Hospital Referrals,Referral,Referral, Hospital,Referrals, Hospital,Consultations,Gatekeeper, Health Service,Health Service Gatekeeper,Opinion, Second,Opinions, Second,Referrals,Second Opinions

Related Publications

Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
The availability of community health center services and access to medical care.
December 2017, Healthcare (Amsterdam, Netherlands),
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Academic medical centers and equity in specialty care access for children.
April 2012, Archives of pediatrics & adolescent medicine,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Improving access to care at community mental health centers.
June 2002, Behavioral healthcare tomorrow,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Health services management education and access to medical care.
January 1982, Issues in health care (Philadelphia, Pa.),
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Appointment Wait Times for Specialty Care in Veterans Health Administration Facilities vs Community Medical Centers.
August 2020, JAMA network open,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Medical Care Services in Community Mental Health Centers: a National Survey of Psychiatrists.
July 2015, The journal of behavioral health services & research,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Consumer governance and the provision of enabling services that facilitate access to care at community health centers.
August 2012, Medical care,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Community health centers. Providing access to care in Virginia's medically underserved areas.
January 1997, Virginia medical quarterly : VMQ,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Specialty-care access for community health clinic patients: processes and barriers.
January 2018, Journal of multidisciplinary healthcare,
Nakela L Cook, and LeRoi S Hicks, and A James O'Malley, and Thomas Keegan, and Edward Guadagnoli, and Bruce E Landon
Access to specialty mental health services among women in California.
June 2005, Psychiatric services (Washington, D.C.),
Copied contents to your clipboard!