دورية أكاديمية

Quantifying Population Characteristics Within and Outside a 30-Minute Drive-Time to Health Resources and Services Administration-Supported Health Centers.

التفاصيل البيبلوغرافية
العنوان: Quantifying Population Characteristics Within and Outside a 30-Minute Drive-Time to Health Resources and Services Administration-Supported Health Centers.
المؤلفون: Rankin JL; Author Affiliations: HealthLandscape, Robert Graham Center, American Academy of Family Physicians, Washington, District of Columbia (Dr Rankin, Ms McCann, Dr Topmiller, and Mr Grolling); and Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Maryland (Ms Benjamin and Drs Yu-Lefler, Hoang, and Sripipatana)., McCann J, Topmiller M, Grolling D, Benjamin T, Yu-Lefler H, Hoang H, Sripipatana A
المصدر: The Journal of ambulatory care management [J Ambul Care Manage] 2024 Oct-Dec 01; Vol. 47 (4), pp. 247-257. Date of Electronic Publication: 2024 Aug 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7802876 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-3267 (Electronic) Linking ISSN: 01489917 NLM ISO Abbreviation: J Ambul Care Manage Subsets: MEDLINE
أسماء مطبوعة: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Germantown, Md., Aspen Systems Corp.
مواضيع طبية MeSH: United States Health Resources and Services Administration* , Health Services Accessibility*, Humans ; Cross-Sectional Studies ; United States ; Female ; Adult ; Male ; Middle Aged ; Geographic Information Systems ; Time Factors ; Aged ; Adolescent ; Young Adult
مستخلص: The Health Resources and Services Administration's (HRSA) Health Center Program provides health care to vulnerable persons across the US, regardless of their ability to pay for health care. We examined characteristics of populations living within and outside a 30-minute drive-time to HRSA-supported health centers to establish a baseline to better understand the differences in these populations. Using a descriptive, cross-sectional study design and geographic information systems, we found that 94% of persons in the US live within a 30-minute drive-time of a health center. Of those outside a 30-minute drive-time to a health center, 11.7 million (60.11%) are rural and over 1.5 million households (20.32%) lack broadband internet access.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
References: Akinlotan M., Khodakarami N., Primm K., Bolin J., Ferdinand A. O. (2023). Travel for medical or dental care by race/ethnicity and rurality in the U.S.: findings from the 2001, 2009 and 2017 National Household Travel Surveys. Preventive Medicine Reports, 35, 102297. doi:10.1016/j.pmedr.2023.102297. (PMID: 10.1016/j.pmedr.2023.102297)
Apparicio P., Gelb J., Dube A. S., Kingham S., Gauvin L., Robitaille E. (2017). The approaches to measuring the potential spatial access to urban health services revisited: distance types and aggregation-error issues. International Journal of Health Geographics, 16(2), 32. doi:10.1186/s12942-017-0105-9. (PMID: 10.1186/s12942-017-0105-9)
Baldomero A. K., Kunisaki K. M., Wendt C. H., Bangerter A., Diem S. J., Ensrud K. E. … Dudley R. A. (2022). Drive time and receipt of guideline-recommended screening, diagnosis, and treatment. JAMA Network Open, 5(11), e2240290. doi:10.1001/jamanetworkopen.2022.40290. (PMID: 10.1001/jamanetworkopen.2022.40290)
Bauerly B. C., McCord R. F., Hulkower R., Pepin D. (2019). Broadband access as a public health issue: The role of law in expanding broadband access and connecting underserved communities for better health outcomes. Journal of Law Medicine Ethics, 47(Supplement 2), 39–42. doi:10.1177/1073110519857314. (PMID: 10.1177/1073110519857314)
Behr C. L., Hull P., Hsu J., Newhouse J. P., Fung V. (2022). Geographic access to federally qualified health centers before and after the affordable care act. BMC Health Services Research, 22(1), 385. doi:10.1186/s12913-022-07685-0. (PMID: 10.1186/s12913-022-07685-0)
Bosanac E. M., Parkinson R. C., Hall D. S. (1976). Geographic access to hospital care: A 30-minute travel time standard. Medical Care, 14(7), 616–624. doi:10.1097/00005650-197607000-00006. (PMID: 10.1097/00005650-197607000-00006)
Bureau of Health Workforce. (2018). National Shortage Designation Modernization Project: Auto-HPSAs. U.S. Department of Health and Human Services, Health Resources and Services Administration. Retrieved June 9, 2023, from https://bhw.hrsa.gov/sites/default/files/bhw/shortagedesignation/auto-hpsas-ta-webinar-may23-slides.pdf.
Bureau of Health Workforce. (2020). What is a Shortage Designation? U.S. Department of Health and Human Services, Health Resources and Services Administration. Retrieved June 9, 2023, from https://bhw.hrsa.gov/workforce-shortage-areas/shortage-designation.
Bureau of Health Workforce. (n.d.). Scoring Shortage Designations. U.S. Department of Health and Human Services, Health Resources and Services Administration. Retrieved June 9, 2023, from https://bhw.hrsa.gov/workforce-shortage-areas/shortage-designation/scoring.
Bureau of Primary Health Care. (2021a). HRSA Health Center Program: 2021 National Health Center Data. U.S. Department of Health and Human Services, Health Resources and Services Administration. Retrieved June 9, 2023, from https://bphc.hrsa.gov/uds/datacenter.aspx.
Bureau of Primary Health Care. (2021b). HRSA Health Center Program: 2021 National Health Center Program Look-Alike Data. U.S. Department of Health and Human Services, Health Resources and Services Administration. Retrieved June 9, 2023, from https://bphc.hrsa.gov/uds/lookalikes.aspx?state=national.
Bureau of Primary Health Care. (n.d.). Explore Data and Maps on HRSA’s Health Care Programs. U.S. Department of Health and Human Services, Health Resources and Services Administration. Retrieved June 9, 2023, from https://data.hrsa.gov.
Delamater P., Messina J. P., Shortridge A. M., Grady S. C. (2012). Measuring geographic access to health care: raster and network-based methods. International Journal of Health Geography, 11(1), 15. doi:10.1186/1476-072X-11-15. (PMID: 10.1186/1476-072X-11-15)
Demeke H., Merali S., Marks S., Pao L. Z., Romero L., Sandhu P.,… Siza C. (2021). Trends in use of telehealth among health centers during the COVID-19 pandemic—United States. Morbidity and Mortality Weekly Report, 70(7), 240–244. doi:10.15585/mmwr.mm7007a3. (PMID: 10.15585/mmwr.mm7007a3)
Hallisey E., Tai E., Berens A., Wilt G., Peipins L., Lewis B. … B N. (2017). Transforming geographic scale: a comparison of combined population and areal weighting to other interpolation methods. International Journal of Health Geography, 16(1), 29. doi:10.1186/s12942-017-0102-z. (PMID: 10.1186/s12942-017-0102-z)
Health Resources and Services Administration. (2020). Defining Rural Population. Author. https://www.hrsa.gov/rural-health/about-us/definition/index.html.
Kim J., Desai E., Cole M. (2020). How the Rapid Shift to Telehealth Leaves Many Community Health Centers Behind During the COVID-19 Pandemic. Health Affairs Blog. Retrieved June 9, 2023, from https://www.healthaffairs.org/do/10.1377/hblog20200529.449762/full/.
Kullgren J. T., McLaughlin C. G., Mitra N., Armstrong K. (2012). Nonfinancial barriers and access to care for U.S. adults. Health Services Research, 47(1 Pt 2), 462–485. doi:10.1111/j.1475-6773.2011.01308.x. (PMID: 10.1111/j.1475-6773.2011.01308.x)
Lee E. K., Donley G., Ciesielski T. H., Freedman D. A., Cole M. B. (2023). Spatial availability of federally qualified health centers and disparities in health services utilization in medically underserved areas. Social Science Medicine, 328, 116009. doi:10.1016/j.socscimed.2023.116009. (PMID: 10.1016/j.socscimed.2023.116009)
Lin C. C., Dievler A., Robbins C., Sripipatana A., Quinn M., Nair S. (2018). Telehealth in health centers: key adoption factors, barriers, and opportunities. Health Affairs, 37(12), 1967–1974. doi:10.1377/hlthaff.2018.05125. (PMID: 10.1377/hlthaff.2018.05125)
Lo Sasso A. T. Byck G. R. (2010). Funding growth drives community health center services. Health Affairs, 29(2), 289–296. doi:10.1377/hlthaff.2008.0265. (PMID: 10.1377/hlthaff.2008.0265)
Manuel J. I. (2018). Racial/ethnic and gender disparities in health care use and access. Health Services Research, 53(3), 1407–1429. doi:10.1111/1475-6773.12705. (PMID: 10.1111/1475-6773.12705)
McMorrow S. Zuckerman S. (2013). Expanding federal funding to community health centers slows decline in access for low-income adults. Health Services Research, 49(3), 992–1010. doi:10.1111/1475-6773.12141. (PMID: 10.1111/1475-6773.12141)
Military Health System. (2020). TRICARE Prime Distance and Drive Time Standards. U.S. Department of Defense. https://www.tricare.mil/primeaccess.
National Association of Community Health Centers. (2018). Expanding Access to Care: Streamlining Health Care Delivery Through Technology. Retrieved June 9, 2023, from https://www.nachc.org/wp-content/uploads/2018/06/NACHC-2018-Policy-Paper-Telehealth.pdf.
National Association of Community Health Centers. (2021). Telehealth and Health Centers During COVID-19. Retrieved June 9, 2023, from https://www.nachc.org/research-and-data/research-fact-sheets-and-infographics/health-centers-and-audio-only-telehealth-during-covid-19/.
National Association of Community Health Centers. (2022). Community Health Center Chartbook. Retrieved June 9, 2023, from https://www.nachc.org/wp-content/uploads/2022/03/Chartbook-Final-2022-Version-2.pdf.
NORC at the University of Chicago. (2013). Understanding the Impact of Health IT in Underserved Communities and Those With Health Disparities. University of Chicago. Retrieved June 9, 2023, from https://www.healthit.gov/sites/default/files/hit_disparities_report_050713.pdf.
Penchansky R. Thomas J. W. (1981). The concept of access: Definition and relationship to consumer satisfaction. Medical Care., 19(2), 127–140. doi:10.1097/00005650-198102000-00001. (PMID: 10.1097/00005650-198102000-00001)
Rocque G. B., Williams C. P., Miller H. D., Azuero A., Wheeler S. B., Pisu M. … Kenzik K. M. (2019). Impact of travel time on health care costs and resources use by phase of care for older patients with cancer. Journal of Clinical Oncology, 37(22), 1935–1945. doi:10.1200/JCO.19.00175. (PMID: 10.1200/JCO.19.00175)
Rural Health Information Hub. (2018). Healthcare Access in Rural Communities. https://www.ruralhealthinfo.org/topics/healthcare-access.
Schiaffino M. K., Suzuki Y., Ho T., Finlayson T. L., Harman J. S. (2020). Associations between nonclinical services and patient-experience outcomes in U.S. acute care hospitals. Journal of Patient Experience, 7(6), 1086–1093. doi:10.1177/2374373519892770. (PMID: 10.1177/2374373519892770)
Syed S. T., Gerber B. S., Sharp L. K. (2013). Traveling towards disease: transportation barriers to health care access. Journal of Community Health, 38(5), 976–993. doi:10.1007/s10900-013-9681-1. (PMID: 10.1007/s10900-013-9681-1)
US Census Bureau . 2020 QuickFacts: United States. U.S. Department of the Treasury, U.S. Census Bureau. Retrieved June 9, 2023, from https://www.census.gov/quickfacts/fact/table/US/PST045222.
U.S. Department of Veterans Affairs. 2019. Veterans Community Care Program. 38 CFR Sect. 17.
Weigel G., Ramaswamy A., Sobel L., Salganicoff A., Cubanski J., Freed M. (2020). Opportunities and Barriers for Telemedicine in the U.S. During the COVID-19 Emergency and Beyond. Kaiser Family Foundation. https://www.kff.org/womens-health-policy/issue-brief/opportunities-and-barriers-for-telemedicine-in-the-u-s-during-the-covid-19-emergency-and-beyond/.
Xue Y., Greener E., Kannan V., Smith J. A., Brewer C., Spetz J. (2018). Federally qualified health centers reduce the primary care provider gap in health professional shortage counties. Nursing Outlook, 66(3), 263–272. doi:10.1016/j.outlook.2018.02.003. (PMID: 10.1016/j.outlook.2018.02.003)
Yue D., Pourat N., Chen X., Lu C. Z., Daniel W., Hoang M. … A N. (2019). Enabling services improve access to care, preventive services, and satisfaction among health center patients. Health Affairs, 38(9), 1468–1474. doi:10.1377/hlthaff.2018.05228. (PMID: 10.1377/hlthaff.2018.05228)
Zuvekas S. H. Taliaferro G. S. (2003). Pathways to access: Health insurance, the health care delivery system, and racial/ethnic disparities, 1996–1999. Health Affairs, 22(2), 139–153. doi:10.1377/hlthaff.22.2.139. (PMID: 10.1377/hlthaff.22.2.139)
تواريخ الأحداث: Date Created: 20240719 Date Completed: 20240822 Latest Revision: 20240822
رمز التحديث: 20240823
DOI: 10.1097/JAC.0000000000000507
PMID: 39028274
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-3267
DOI:10.1097/JAC.0000000000000507