Journal article
Consumer governance and the provision of enabling services that facilitate access to care at community health centers
Medical care, Vol.50(8), pp.668-675
08/2012
DOI: 10.1097/MLR.0b013e3182551763
PMCID: PMC5595247
PMID: 22531649
Abstract
Federally qualified health centers (FQHCs) are primary care clinics, governed by a consumer majority, which accept patients regardless of ability to pay and provide nonclinical enabling services that facilitate patients' access to care. Understanding how FQHCs decide which services to provide is important, because enabling services are not typically reimbursed.
To model enabling service provision as a function of FQHC board composition.
FQHC-level data were drawn from multiple years of the Uniform Data System (UDS) (2002-2007), and merged with county-level data from the Area Resource File (ARF) (2002-2007) and board data from FQHC grant applications (2003-2006). The scope and volume of enabling services an FQHC provides are modeled as a function of board composition, executive committee composition, the interaction between them, general time trends, and other FQHC and county-level controls.
The proportion of consumers on the board does not affect the scope of enabling services, but the proportion of descriptive consumers (who resemble typical FQHC patients) on the executive committee is associated with a significant increase in the scope of enabling services a health center provides. Neither the proportion of consumers on the board nor the proportion of consumers on the executive committee affected the volume of enabling services provided.
Consumer governance, specifically on the executive committee, plays a small role in determining which enabling services an FQHC provides, but more work is needed to identify factors associated with variation in the scope and volume of enabling services across FQHCs.
Details
- Title: Subtitle
- Consumer governance and the provision of enabling services that facilitate access to care at community health centers
- Creators
- David Bradley Wright - Brown University
- Resource Type
- Journal article
- Publication Details
- Medical care, Vol.50(8), pp.668-675
- DOI
- 10.1097/MLR.0b013e3182551763
- PMID
- 22531649
- PMCID
- PMC5595247
- NLM abbreviation
- Med Care
- ISSN
- 0025-7079
- eISSN
- 1537-1948
- Grant note
- T32 HS000032 / AHRQ HHS T32 HS000011 / AHRQ HHS
- Language
- English
- Date published
- 08/2012
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984363564502771
Metrics
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