Leiyu Shi1, Lydie A Lebrun, Jenna Tsai. 1. Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Primary Care Policy Center, 624 North Broadway, Room 452, Baltimore, MD 21205, USA. lshi@jhsph.edu
Abstract
OBJECTIVES: In 2001, the Health Center Growth Initiative was launched to increase access to primary health-care services through the expansion of the health center program. We examined the impact this initiative had on the number and types of patients seen by health centers, as well as the health center characteristics significantly associated with service expansions. METHODS: We conducted secondary and time-trend analyses of the Uniform Data System, an annual dataset submitted to the Bureau of Primary Health Care by all federally qualified health centers. We performed trend and multivariable analyses to examine the impact of the initiative on health center performance. RESULTS: Health centers that received both new access points and expanded medical capacity funding saw the most rapid growth in patients. These centers experienced a 58% increase in total number of patients and a 60% increase in total number of encounters, compared with 10% and 8%, respectively, for centers receiving no funding at all. CONCLUSIONS: were unchanged even after controlling for other health center characteristics. CONCLUSIONS: Public funding is critical to sustaining and expanding health center services to the nation's vulnerable populations.
OBJECTIVES: In 2001, the Health Center Growth Initiative was launched to increase access to primary health-care services through the expansion of the health center program. We examined the impact this initiative had on the number and types of patients seen by health centers, as well as the health center characteristics significantly associated with service expansions. METHODS: We conducted secondary and time-trend analyses of the Uniform Data System, an annual dataset submitted to the Bureau of Primary Health Care by all federally qualified health centers. We performed trend and multivariable analyses to examine the impact of the initiative on health center performance. RESULTS: Health centers that received both new access points and expanded medical capacity funding saw the most rapid growth in patients. These centers experienced a 58% increase in total number of patients and a 60% increase in total number of encounters, compared with 10% and 8%, respectively, for centers receiving no funding at all. CONCLUSIONS: were unchanged even after controlling for other health center characteristics. CONCLUSIONS: Public funding is critical to sustaining and expanding health center services to the nation's vulnerable populations.
Authors: Leiyu Shi; Lydie A Lebrun; Jinsheng Zhu; Arthur S Hayashi; Ravi Sharma; Charles A Daly; Alek Sripipatana; Quyen Ngo-Metzger Journal: Health Serv Res Date: 2012-05-17 Impact factor: 3.402
Authors: Yuri Jang; Nan Sook Park; Hyunwoo Yoon; Ya-Ching Huang; Min-Kyoung Rhee; David A Chiriboga; Miyong T Kim Journal: Health Soc Care Community Date: 2017-06-15