Access to specialty care and medical services in community health centers

Health Aff (Millwood). Sep-Oct 2007;26(5):1459-68. doi: 10.1377/hlthaff.26.5.1459.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Community Health Centers / organization & administration*
  • Community Health Centers / statistics & numerical data
  • Economics, Medical
  • Health Care Surveys*
  • Health Services Accessibility / economics
  • Health Services Accessibility / statistics & numerical data*
  • Humans
  • Insurance, Health / statistics & numerical data
  • Male
  • Medicaid / statistics & numerical data
  • Medically Underserved Area
  • Medically Uninsured / statistics & numerical data*
  • Medicare / statistics & numerical data
  • Medicine / statistics & numerical data*
  • Middle Aged
  • Physician Executives
  • Poverty*
  • Primary Health Care / economics
  • Primary Health Care / organization & administration
  • Referral and Consultation / economics
  • Referral and Consultation / statistics & numerical data*
  • Specialization*
  • United States