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Access To Specialty Care And Medical Services In Community Health Centers

Published on Sep 1, 2007in Health Affairs5.711
· DOI :10.1377/hlthaff.26.5.1459
Nakela L. Cook14
Estimated H-index: 14
,
LeRoi S. Hicks19
Estimated H-index: 19
(Harvard University)
+ 3 AuthorsBruce E. Landon62
Estimated H-index: 62
(Harvard University)
Abstract
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.
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