Role of community health outreach program -living for health-® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional studyReportar como inadecuado




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BMC Health Services Research

, 15:181

Health systems and services in low and middle income settings

Abstract

BackgroundCare of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers FQHCs address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined.

MethodsRetrospective analysis was performed on data from -Living for Health- L4H program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization.

ResultsAmong 9453 subjects screened, 1889 were referred to a FQHC, but only 20111% actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization.

ConclusionThe current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs.

KeywordsHealth care quality Access and evaluation Community health centers Vulnerable population AbbreviationsFQHCsFederally qualified health centers

L4HLiving for health

FHRIFlorida heart research institutex

SPSSStatistical package for the Social Sciences

BMIBody mass index

TC-HDLTotal cholesterol-high density lipoprotein

HTNHypertension

HDLHigh-density lipoprotein

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Autor: Aws Almufleh - Tori Gabriel - Laura Tokayer - Mary Comerford - Ahmed Alaqeel - Paul Kurlansky

Fuente: https://link.springer.com/







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