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J Prim Care Community Health. 2017 Jul;8(3):141-146. doi: 10.1177/2150131916687919. Epub 2017 Jan 31.

What Factors Are Associated With Medicaid Patients' Use of Health Centers?

Author information

1
1 University of Chicago, Chicago, IL, USA.
2
2 US Department of Health and Human Services, Health Resources and Services Administration, Rockville, MD, USA.

Abstract

OBJECTIVE:

To identify patient and neighborhood factors associated with health center (HC) use.

METHODS:

A cross-sectional study of Medicaid fee-for-service claims in 2009 comparing HC users and nonusers.

RESULTS:

Dually eligible patients (odds ratio [OR] 95% CI = [0.60, 0.61]) and those with high chronic disease burden (OR 95% CI = [0.73, 0.74]) had lower odds of HC use. Temporary Assistance for Needy Families participants (OR 95% CI = [1.20, 1.24]), black (OR 95% CI = [1.33, 1.36]) and Hispanic (OR 95% CI = [1.22, 1.25]) beneficiaries had higher odds. Local HC presence predicted higher HC use (OR 95% CI = [2.63, 2.70]).

CONCLUSION:

Findings may be useful in steering HC policies affecting critical access for Medicaid beneficiaries.

KEYWORDS:

access to care; community health; community health centers; patient-centeredness; primary care

PMID:
28142316
PMCID:
PMC5469696
DOI:
10.1177/2150131916687919
[Indexed for MEDLINE]
Free PMC Article

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