Access to specialty care and medical services in community health centers
Access to specialty care and medical services in community health centers
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DOI：
10.1377/hlthaff.26.5.1459
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发表时间：
2007-09-01
期刊：
影响因子：
9.7
通讯作者：
Landon, Bruce E.
中科院分区：
文献类型：
--
作者：
Cook, Nakela L.;Hicks, Lerol S.;Landon, Bruce E.
虽然社区卫生中心（CHCs）提供初级卫生服务的医疗服务不足和穷人，有限的访问场外专业服务可能会导致较差的结果保险不足的CHC患者。本研究评估获得专科卫生服务的病人接受护理的社区卫生服务中心，使用的医疗主任在2004年在美国的所有联邦合格的社区卫生服务中心的调查。受访者报告说，没有保险的患者更难获得非现场专业服务，包括转诊和诊断检测，比医疗补助，医疗保险或私人保险的患者。
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.