Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study

Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our...
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Autor*in:	Almufleh, Aws [verfasserIn] Gabriel, Tori Tokayer, Laura Comerford, Mary Alaqeel, Ahmed Kurlansky, Paul

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Health care quality Access and evaluation Community health centers Vulnerable population

Anmerkung:	© Almufleh et al.; licensee BioMed Central. 2015

Übergeordnetes Werk:	Enthalten in: BMC health services research - London : BioMed Central, 2001, 15(2015), 1 vom: 28. Apr.
Übergeordnetes Werk:	volume:15 ; year:2015 ; number:1 ; day:28 ; month:04

Links:	Volltext

DOI / URN:	10.1186/s12913-015-0826-z

Katalog-ID:	SPR028275470

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520			\|a Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs.
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allfields	10.1186/s12913-015-0826-z doi (DE-627)SPR028275470 (SPR)s12913-015-0826-z-e DE-627 ger DE-627 rakwb eng Almufleh, Aws verfasserin aut Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Almufleh et al.; licensee BioMed Central. 2015 Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. Health care quality (dpeaa)DE-He213 Access and evaluation (dpeaa)DE-He213 Community health centers (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Gabriel, Tori aut Tokayer, Laura aut Comerford, Mary aut Alaqeel, Ahmed aut Kurlansky, Paul aut Enthalten in BMC health services research London : BioMed Central, 2001 15(2015), 1 vom: 28. Apr. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:15 year:2015 number:1 day:28 month:04 https://dx.doi.org/10.1186/s12913-015-0826-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 28 04
spelling	10.1186/s12913-015-0826-z doi (DE-627)SPR028275470 (SPR)s12913-015-0826-z-e DE-627 ger DE-627 rakwb eng Almufleh, Aws verfasserin aut Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Almufleh et al.; licensee BioMed Central. 2015 Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. Health care quality (dpeaa)DE-He213 Access and evaluation (dpeaa)DE-He213 Community health centers (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Gabriel, Tori aut Tokayer, Laura aut Comerford, Mary aut Alaqeel, Ahmed aut Kurlansky, Paul aut Enthalten in BMC health services research London : BioMed Central, 2001 15(2015), 1 vom: 28. Apr. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:15 year:2015 number:1 day:28 month:04 https://dx.doi.org/10.1186/s12913-015-0826-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 28 04
allfields_unstemmed	10.1186/s12913-015-0826-z doi (DE-627)SPR028275470 (SPR)s12913-015-0826-z-e DE-627 ger DE-627 rakwb eng Almufleh, Aws verfasserin aut Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Almufleh et al.; licensee BioMed Central. 2015 Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. Health care quality (dpeaa)DE-He213 Access and evaluation (dpeaa)DE-He213 Community health centers (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Gabriel, Tori aut Tokayer, Laura aut Comerford, Mary aut Alaqeel, Ahmed aut Kurlansky, Paul aut Enthalten in BMC health services research London : BioMed Central, 2001 15(2015), 1 vom: 28. Apr. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:15 year:2015 number:1 day:28 month:04 https://dx.doi.org/10.1186/s12913-015-0826-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 28 04
allfieldsGer	10.1186/s12913-015-0826-z doi (DE-627)SPR028275470 (SPR)s12913-015-0826-z-e DE-627 ger DE-627 rakwb eng Almufleh, Aws verfasserin aut Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Almufleh et al.; licensee BioMed Central. 2015 Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. Health care quality (dpeaa)DE-He213 Access and evaluation (dpeaa)DE-He213 Community health centers (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Gabriel, Tori aut Tokayer, Laura aut Comerford, Mary aut Alaqeel, Ahmed aut Kurlansky, Paul aut Enthalten in BMC health services research London : BioMed Central, 2001 15(2015), 1 vom: 28. Apr. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:15 year:2015 number:1 day:28 month:04 https://dx.doi.org/10.1186/s12913-015-0826-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 28 04
allfieldsSound	10.1186/s12913-015-0826-z doi (DE-627)SPR028275470 (SPR)s12913-015-0826-z-e DE-627 ger DE-627 rakwb eng Almufleh, Aws verfasserin aut Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Almufleh et al.; licensee BioMed Central. 2015 Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. Health care quality (dpeaa)DE-He213 Access and evaluation (dpeaa)DE-He213 Community health centers (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Gabriel, Tori aut Tokayer, Laura aut Comerford, Mary aut Alaqeel, Ahmed aut Kurlansky, Paul aut Enthalten in BMC health services research London : BioMed Central, 2001 15(2015), 1 vom: 28. Apr. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:15 year:2015 number:1 day:28 month:04 https://dx.doi.org/10.1186/s12913-015-0826-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 28 04
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topic_title	Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study Health care quality (dpeaa)DE-He213 Access and evaluation (dpeaa)DE-He213 Community health centers (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213
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title	Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study
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title_full	Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study
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author_browse	Almufleh, Aws Gabriel, Tori Tokayer, Laura Comerford, Mary Alaqeel, Ahmed Kurlansky, Paul
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title_sort	role of community health outreach program “living for health”® in improving access to federally qualified health centers in miami-dade county, florida: a cross-sectional study
title_auth	Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study
abstract	Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. © Almufleh et al.; licensee BioMed Central. 2015
abstractGer	Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. © Almufleh et al.; licensee BioMed Central. 2015
abstract_unstemmed	Background Care of the underserved remains one of the most compelling challenges to American healthcare. Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. Community outreach programs like L4H can improve the access and utilization of FQHCs. © Almufleh et al.; licensee BioMed Central. 2015
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title_short	Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study
url	https://dx.doi.org/10.1186/s12913-015-0826-z
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author2	Gabriel, Tori Tokayer, Laura Comerford, Mary Alaqeel, Ahmed Kurlansky, Paul
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up_date	2024-07-03T18:25:06.614Z
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Federally Qualified Health Centers (FQHCs) address uninsurance and underinsurance by providing primary and preventive care to vulnerable populations with fees charged based on ability to pay. Our goal is to study the effectiveness of FQHCs system in engaging patients and the barriers to utilization, which have not been well defined. Methods Retrospective analysis was performed on data from “Living for Health” (L4H) program participants from 2008 to 2012. Univariate and multivariate logistic regression analysis were performed to determine factors associated with FQHC utilization. Results Among 9453 subjects screened, 1889 were referred to a FQHC, but only 201(11%) actually sought treatment. Public insurance, non-Hispanic ethnicity, and hypertension were associated with higher rates of FQHC utilization. Inability to afford costs, cultural factors and inflexible appointment times were the most common reasons for FQHC underutilization. Conclusion The current status of FQHC utilization is sub-optimal. 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Role of community health outreach program “living for health”® in improving access to federally qualified health centers in Miami-dade county, Florida: a cross-sectional study

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