Some Accomplishments and Findings of Neighborhood Health Centers

Zwick, Daniel I.

doi:10.2307/3349428

Cited by 27 publications

(12 citation statements)

References 25 publications

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“…Both are verified using primary sources (US Congress 1967; OEO 1967, 1968; DHEW 1972a, 1972b; Zwick 1972; GAO 1973; Health Services Administration 1974; Judd et al 1976). Our amalgamated dataset contains information on (i) the county where CHCs delivered services, which allows each federal grant to be linked to county-level mortality rates, and (ii) the date when each county received its first CHC services grant (this excludes planning grants), which provides a consistent proxy for the year each CHC became operational—what we refer to as the “establishment date.”…”

Section: Data and Research Design: Using The Rollout Of Communitymentioning

confidence: 99%

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

Bailey

Goodman-Bacon

2015

American Economic Review

176

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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)

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Section: Data and Research Design: Using The Rollout Of Communitymentioning

confidence: 99%

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

Bailey

Goodman-Bacon

2015

American Economic Review

176

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“…For decades, it has been assumed that consumer governance makes FQHCs more responsive to their community's needs. [6][7][8] Indeed, the concept of representation suggests that there is a positive association between descriptive representation (i.e., representatives sharing salient characteristics with those they represent) and substantive representation (i.e., representatives advocating for the interests of those they represent). [9][10][11][12][13] Accordingly, assuming that uncompensated care is in the interest of most FQHC patients, the proportion of consumers on the board should be positively associated with the amount of uncompensated care an FQHC provides, depending of course on the extent to which those board members resemble the typical low-income, uninsured FQHC patient.…”

mentioning

confidence: 99%

When Patients Govern: Federal Grant Funding and Uncompensated Care at Federally Qualified Health Centers

Wright¹,

Ricketts²

2013

hpu

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Objective-To determine if the proportion of consumers on federally qualified health center (FQHC) governing boards is associated with their use of federal grant funds to provide uncompensated care.Methods-Using FQHC data from the Uniform Data System, county-level data from the Area Resource File and governing board data from FQHC grant applications, the uncompensated care an FQHC provides relative to the amount of its federal funding is modeled as a function of board and executive committee composition using fixed-effects regression with FQHC and county-level controls.Results-Consumer governance does not predict how much uncompensated care an FQHC provides relative to the size of its federal grant. Rather, the proportion of an FQHC's patient-mix that is uninsured drives uncompensated care provision.Conclusions-Aside from a small executive committee effect, consumer governance does not influence FQHCs' provision of uncompensated care. More work is needed to understand the role of consumer governance. KeywordsFederally qualified health centers; consumer governance; uncompensated care; uninsured Federally qualified health centers (FQHCs) are a critical source of primary care for approximately 20 million medically underserved people in both urban and rural areas nationwide. 1 They use income-sensitive sliding-fee scales to charge for care, but ultimately accept all patients without regard for their ability to pay. Consequently, FQHCs serve a disproportionate share of uninsured and low-income persons and provide a considerable amount of uncompensated care.

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“…Yet, 27 percent of the families had no utilization in two years; the percent of individuals with no utilization would be much higher. Zwick (1972) presents data from an Office of Economic Opportunity study of 21 health centers that clearly portray the problem in using usual source to mean commitment. He reports: ' 72 percent of the user families considered the health center their &dquo;usual source of care&dquo;....…”

Section: Statedmentioning

confidence: 99%

Patient-Provider Concordance: A Review and Conceptualization

Penchansky

1986

Medical Care Review

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The existence and character of the relationship between a patient and provider are probably key variables determining the performance of the medical care system. Prior analyses of this relationship have addressed it as three largely distinct areas: the patient having a usual source, a personal physician, or a central source; the concept of managing physician, primary physician or gatekeeper; and,-the patientphysician interpersonal or therapeutic relationship.If the relationship between provider and patient is important, then there is a need to answer the questions: Are there factors that influence the existence or strength of the relationship and, if so, what are they? How do the existence and strength of the relationship influence choice of source, use, quality, compliance, efficiency, and satisfaction? Will the addition of a measure (or measures) of the existence and characteristics of the patient-provider relationship improve our ability to explain the functioning of the health 'care system? How can the relationship between patient and system or provider be characterized in ways useful for research and policy analysis? This article has four major objectives: to establish the importance of usual source (personal physician or managing physician) to health at UQ Library on June 18, 2015 mcr.sagepub.com Downloaded from

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Some Accomplishments and Findings of Neighborhood Health Centers

Cited by 27 publications

References 25 publications

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

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

When Patients Govern: Federal Grant Funding and Uncompensated Care at Federally Qualified Health Centers

Patient-Provider Concordance: A Review and Conceptualization

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