National Healthcare Disparities Report - LDI Health Economist
National Healthcare Disparities Report - LDI Health Economist
National Healthcare Disparities Report - LDI Health Economist
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<strong>Health</strong> System Infrastructure<br />
NEW<br />
Patients Using Federally Funded <strong>Health</strong> Centers<br />
FFHCs include health care organizations that receive a grant under Section 330 of the Public <strong>Health</strong> Service<br />
Act, including community health centers, migrant health centers, <strong>Health</strong> Care for the Homeless programs,<br />
and Public Housing Primary Care programs. These organizations typically render services to low-income<br />
populations, uninsured people, people with limited English proficiency, migrant and seasonal farmworkers,<br />
individuals and families experiencing homelessness, and public housing residents.<br />
To obtain Federal grant funding, these public and nonprofit organizations agree to provide a minimum set of<br />
services, including primary and preventive care, mental health, and dental services. Access to care is<br />
available to all persons, regardless of ability to pay. Charges for services rendered are based on a sliding<br />
scale, which is linked to patients’ family income. More than 19 million people visited an FFHC in 2010.<br />
Figure 8.4. Race, ethnicity, and income of patients receiving care in an FFHC, United States, 2010<br />
Chapter 8<br />
80<br />
70<br />
60<br />
50<br />
Percent<br />
40<br />
30<br />
20<br />
10<br />
0<br />
White<br />
Black<br />
Asian<br />
Native Hawaiian<br />
Pacific Islander<br />
AI/AN<br />
>1 Race<br />
Hispanic<br />
Language Other Than English<br />
Income At or Below Poverty Level<br />
Income 101-150% of Poverty Level<br />
Income 151-200% of Poverty Level<br />
Income >200% of Poverty Level<br />
Source: <strong>Health</strong> Resources and Services Administration, Bureau of<br />
Primary <strong>Health</strong> Care, Uniform Data System, 2010.<br />
Note: Racial groups shown are non-Hispanic. Data were obtained<br />
from 1,124 Section 330g grantee recipients. Patients with<br />
hypertension include those ages 18-85. Hypertension is<br />
determined to be controlled if the patient’s last blood pressure<br />
reading was less than 140/90. Patients with diabetes include those<br />
ages 18-75. Diabetes is determined to be controlled if the patient’s<br />
most recent HbA1c was 7% or less.<br />
n In 2010, approximately 64 percent of patients seen at an FFHC were White (Hispanics and non-<br />
Hispanics), and one-quarter were Black (Figure 8.4).<br />
n In 2010, more than one-third of FFHC patients were Hispanic and about one-quarter of patients were<br />
determined by the FFHC to be best served in a language other than English.<br />
n Almost three-quarters of patients seen in an FFHC in 2010 had income at or below the Federal<br />
poverty level.<br />
Also, in the NHQR:<br />
n Nearly 40% of patients seen at an FFHC were uninsured and another 40% had Medicaid.<br />
<strong>National</strong> <strong><strong>Health</strong>care</strong> <strong>Disparities</strong> <strong>Report</strong>, 2011<br />
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