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Literature DB >> 30397918

Changes in primary care access at community health centers between 2012/2013 and 2016.

Brendan Saloner¹, Adam S Wilk², Douglas Wissoker³, Molly Candon⁴, Katherine Hempstead⁵, Karin V Rhodes⁶, Daniel E Polsky⁴, Genevieve M Kenney⁷.

Abstract

OBJECTIVE: To compare access at community health centers (CHCs) vs private offices (non-CHCs) under the Affordable Care Act. DATA SOURCE: Ten state primary care audit conducted in 2012/2013 and 2016. STUDY
DESIGN: CHCs and non-CHCs were called. We calculated difference in differences comparing CHCs vs non-CHCs by caller insurance type. PRINCIPAL
FINDINGS: In both rounds, Medicaid and uninsured callers had higher appointment rates at CHC than non-CHCs. CHC appointment rates significantly increased between 2012/2013 and 2016 for both employer-sponsored and Medicaid callers, with no significant wait time changes. Appointment rates increased (13.5% points, P < 0.001) and wait times decreased (-5.7 days, P = 0.017) at CHCs relative to non-CHCs for employer-sponsored insurance.
CONCLUSION: Appointment availability at CHCs improved after ACA implementation, without increased wait times. © Health Research and Educational Trust.

Entities: Disease

Keywords: Affordable Care Act; access; community health centers

Mesh：

Year: 2018 PMID： 30397918 PMCID： PMC6338301 DOI： 10.1111/1475-6773.13082

Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402

10 in total

10. Access points for the underserved: primary care appointment availability at federally qualified health centers in 10 States.

Authors: Michael R Richards; Brendan Saloner; Genevieve M Kenney; Karin Rhodes; Daniel Polsky
Journal: Med Care Date: 2014-09 Impact factor: 2.983

10 in total

1 in total

1. Changes in primary care access at community health centers between 2012/2013 and 2016.

1 in total

Changes in primary care access at community health centers between 2012/2013 and 2016.

1. Funding growth drives community health center services.

2. Expanding federal funding to community health centers slows decline in access for low-income adults.

3. Changes in Primary Care Access Between 2012 and 2016 for New Patients With Medicaid and Private Coverage.

4. At Federally Funded Health Centers, Medicaid Expansion Was Associated With Improved Quality Of Care.

5. Changes in primary care access at community health centers between 2012/2013 and 2016.

6. Medicaid Expansion And Grant Funding Increases Helped Improve Community Health Center Capacity.

7. The mission of safety net organizations following national insurance reform.

8. Affordable Care Act Impact on Community Health Center Staffing and Enrollment: A Cross-Sectional Study.

9. Utilization of Community Health Centers in Medicaid Expansion and Nonexpansion States, 2013-2014.

10. Access points for the underserved: primary care appointment availability at federally qualified health centers in 10 States.

1. Changes in primary care access at community health centers between 2012/2013 and 2016.