Exploring the limits of the safety net

Community health centers and care for the uninsured

Michael Gusmano, Gerry Fairbrother, Heidi Park

Research output: Contribution to journalArticle

86 Citations (Scopus)

Abstract

This paper explores the extent to which community health centers (CHCs) are able to manage their uninsured patient caseloads. We found that CHCs can provide primary care, medications, and medical supplies to most of their uninsured patients on site but are limited in their ability to provide diagnostic, specialty, and behavioral health services. Uninsured patients often fail to receive additional services for which they are referred, and it is much more difficult for CHC physicians to arrange specialty or nonemergency hospital care for their uninsured patients than for their insured patients.

Original languageEnglish (US)
Pages (from-to)188-194
Number of pages7
JournalHealth Affairs
Volume21
Issue number6
DOIs
StatePublished - Dec 1 2002

Fingerprint

Community Health Centers
Community Health Services
Safety
health
community
diagnostic
health service
medication
physician
Health Services
ability
Primary Health Care
Physicians

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Gusmano, Michael ; Fairbrother, Gerry ; Park, Heidi. / Exploring the limits of the safety net : Community health centers and care for the uninsured. In: Health Affairs. 2002 ; Vol. 21, No. 6. pp. 188-194.
@article{7b77a962582e42cbbc4e7786ecae982d,
title = "Exploring the limits of the safety net: Community health centers and care for the uninsured",
abstract = "This paper explores the extent to which community health centers (CHCs) are able to manage their uninsured patient caseloads. We found that CHCs can provide primary care, medications, and medical supplies to most of their uninsured patients on site but are limited in their ability to provide diagnostic, specialty, and behavioral health services. Uninsured patients often fail to receive additional services for which they are referred, and it is much more difficult for CHC physicians to arrange specialty or nonemergency hospital care for their uninsured patients than for their insured patients.",
author = "Michael Gusmano and Gerry Fairbrother and Heidi Park",
year = "2002",
month = "12",
day = "1",
doi = "https://doi.org/10.1377/hlthaff.21.6.188",
language = "English (US)",
volume = "21",
pages = "188--194",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "6",

}

Exploring the limits of the safety net : Community health centers and care for the uninsured. / Gusmano, Michael; Fairbrother, Gerry; Park, Heidi.

In: Health Affairs, Vol. 21, No. 6, 01.12.2002, p. 188-194.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Exploring the limits of the safety net

T2 - Community health centers and care for the uninsured

AU - Gusmano, Michael

AU - Fairbrother, Gerry

AU - Park, Heidi

PY - 2002/12/1

Y1 - 2002/12/1

N2 - This paper explores the extent to which community health centers (CHCs) are able to manage their uninsured patient caseloads. We found that CHCs can provide primary care, medications, and medical supplies to most of their uninsured patients on site but are limited in their ability to provide diagnostic, specialty, and behavioral health services. Uninsured patients often fail to receive additional services for which they are referred, and it is much more difficult for CHC physicians to arrange specialty or nonemergency hospital care for their uninsured patients than for their insured patients.

AB - This paper explores the extent to which community health centers (CHCs) are able to manage their uninsured patient caseloads. We found that CHCs can provide primary care, medications, and medical supplies to most of their uninsured patients on site but are limited in their ability to provide diagnostic, specialty, and behavioral health services. Uninsured patients often fail to receive additional services for which they are referred, and it is much more difficult for CHC physicians to arrange specialty or nonemergency hospital care for their uninsured patients than for their insured patients.

UR - http://www.scopus.com/inward/record.url?scp=0036832097&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036832097&partnerID=8YFLogxK

U2 - https://doi.org/10.1377/hlthaff.21.6.188

DO - https://doi.org/10.1377/hlthaff.21.6.188

M3 - Article

VL - 21

SP - 188

EP - 194

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 6

ER -