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


Journal

The Journal of ambulatory care management
ISSN: 1550-3267
Titre abrégé: J Ambul Care Manage
Pays: United States
ID NLM: 7802876

Informations de publication

Date de publication:
17 Jul 2024
Historique:
medline: 19 7 2024
pubmed: 19 7 2024
entrez: 19 7 2024
Statut: aheadofprint

Résumé

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.

Identifiants

pubmed: 39028274
doi: 10.1097/JAC.0000000000000507
pii: 00004479-990000000-00050
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 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
doi: 10.1377/hlthaff.22.2.139

Auteurs

Jennifer L 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).

Classifications MeSH