Low-Income Uninsured Patient Health and Access to Health Care through a Community Health Program in NC.

Project Access provides free primary and specialty care for low-income uninsured residents of Buncombe County, NC through a physician volunteer network. In 2010, we replicated a 1998 study investigating health issues among Project Access (PA) patients. Over 300 patients enrolled in PA in 2009 were s...

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Publicado en:Journal of Community Health Vol. 37; no. 1; pp. 105 - 113
Autores principales: Alexander, Laura, Landis, Suzanne
Formato: Artículo
Publicado: Springer Nature Feb2012
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Acceso en línea:Ver este registro en EBSCOhost
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          Alexander, Laura
          Landis, Suzanne
        affil:
          UNC Gillings School of Global Public Health, Department of Maternal and Child Health, CB# 8165, 400 Roberson St Chapel Hill 27599 USA
          Mountain Area Health Education Center Family Practice Residency Program and Department of Family Medicine, UNC-CH, 118 WT Weaver Blvd Asheville 28804 USA
      su:
        North Carolina
        Community health services
        Black people
        Employment
        Health services accessibility
        Hispanic Americans
        Interviewing
        Poverty
        White people
        Educational attainment
        Confidence intervals
        Medically uninsured persons
        Probability theory
        Questionnaires
        Research funding
        Statistical sampling
        Surveys
        T-test (Statistics)
        Descriptive statistics
      sug:
        subj:
          Community health services
          Black people
          Employment
          Health services accessibility
          Hispanic Americans
          Interviewing
          Poverty
          White people
          Educational attainment
          North Carolina
          All Other Outpatient Care Centers
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Community health centres
          Other local, municipal and regional public administration
          Marketing Research and Public Opinion Polling
          Confidence intervals
          Medically uninsured persons
          Probability theory
          Questionnaires
          Research funding
          Statistical sampling
          Surveys
          T-test (Statistics)
          Descriptive statistics
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        Access
        Medical care
        Short Form-12
        Access
        Medical care
        Short Form-12
      ab: Project Access provides free primary and specialty care for low-income uninsured residents of Buncombe County, NC through a physician volunteer network. In 2010, we replicated a 1998 study investigating health issues among Project Access (PA) patients. Over 300 patients enrolled in PA in 2009 were surveyed by telephone. Currently, as compared to 1998, fewer patients were employed (31% vs. 44.2%, p < 0.05), more patients were unable to return to work (15.6% vs. 8%, p < 0.05), and patients were enrolled in PA for longer (24.5 months vs. 14 months). The SF-12 Physical Health score was worse in 2010 ( p < 0.05). With the implementation of Health Reform, certain groups of people will still require PA services, but a significant portion will be covered by Medicaid; with our PA patients reporting poorer health status, Medicaid resources may be strained even more than anticipated.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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