Biomaterial Database

A proposal to provide care to the uninsured through a network of community health centers. 1993

D S Blumenthal, and J E Lukomnik, and D R Hawkins

Dept. of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA 30310.

While a national health insurance plan is needed, this alone will not provide access for approximately 30 million persons who face geographic, cultural, language, or health care system barriers, or who live in areas with provider shortages. These barriers often coexist with lack of insurance coverage, but they also affect millions who have public, or even private, coverage. Moreover, large segments of this population suffer from health problems not adequately addressed by the traditional medical model: teenage pregnancy, AIDS, injury, substance abuse, and the like. To provide appropriate care for these underserved persons, we propose to expand the existing network of community health centers over the next 10 years to a total of approximately 3,000. Such an expansion would provide a cost-effective approach to improving provider distribution, increasing consumer input, combining personal health services with health promotion, and removing both financial and nonfinancial barriers to care. This model can be implemented either independent of or in conjunction with other health care system reform efforts.

UI	MeSH Term	Description	Entries
D008489	Medical Indigency	The condition in which individuals are financially unable to access adequate medical care without depriving themselves and their dependents of food, clothing, shelter, and other essentials of living.	Indigency, Medical,Indigencies, Medical,Medical Indigencies
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
D009310	National Health Insurance, United States	Federal system administering national health insurance in the United States.	Federal Health Insurance Plans, United States,United States National Health Insurance
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
D003151	Community Health Centers	Facilities which administer the delivery of health care services to people living in a community or neighborhood.	Neighborhood Health Centers,Satellite Centers,Center, Community Health,Center, Neighborhood Health,Center, Satellite,Centers, Community Health,Centers, Neighborhood Health,Centers, Satellite,Community Health Center,Health Center, Community,Health Center, Neighborhood,Health Centers, Community,Health Centers, Neighborhood,Neighborhood Health Center,Satellite Center
D003362	Cost-Benefit Analysis	A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. In contrast a cost effectiveness in general compares cost with qualitative outcomes.	Cost and Benefit,Cost-Benefit Data,Benefits and Costs,Cost Benefit,Cost Benefit Analysis,Cost-Utility Analysis,Costs and Benefits,Economic Evaluation,Marginal Analysis,Analyses, Cost Benefit,Analysis, Cost Benefit,Analysis, Cost-Benefit,Analysis, Cost-Utility,Analysis, Marginal,Benefit and Cost,Cost Benefit Analyses,Cost Benefit Data,Cost Utility Analysis,Cost-Benefit Analyses,Cost-Utility Analyses,Data, Cost-Benefit,Economic Evaluations,Evaluation, Economic,Marginal Analyses
D006297	Health Services Accessibility	The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.	Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014171	Transients and Migrants	People who frequently change their place of residence.	Migrants,Migrant Workers,Nomads,Nonmigrants,Squatters,Transients,Migrant,Migrant Worker,Migrants and Transients,Nomad,Nonmigrant,Squatter,Transient,Worker, Migrant,Workers, Migrant
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.