ESTUDIO DE CAMPO
TIPO DE AYUDA PORCENTAJES TOTAL DE MUESTRA
In caring for more than 20 million of the most traditionally underserved and at-risk populations, health centers stand as a locally-tailored solution to the nation-wide state of unmet need. Were it not for health centers, the number of individuals with unmet health care needs would be far greater. Health centers provide needed primary care, as well as dental, behavioral, pharmacy, and other services that fill community gaps in health care resources. Health centers also offer services that specifically help their pa- tients navigate difficult circumstances in order to utilize high-quality care. These include transportation, transla- tion, health education, outreach, case management, and other services that break down barriers to care. Because of their success in building healthier communities, miti- gating health disparities, and expanding access to high- quality, cost-effective care, the Health Centers Program was rated one of the most effective federal programs by
the Office of Management and Budget (OMB).118
Both research and recent health center grant applications from communities nationwide demonstrate that the need
for access to primary care far outweighs available resources in many corners of our country. As the series of maps in this report illustrates, navigating complex and compound- ing barriers requires an enhanced level of services beyond medical care to address the social, environmental, and eco- nomic determinants of health. A more complete list of unmet needs would highlight barriers to care and indica- tors of need relevant to oral health care, mental health and substance abuse services, pharmacy, vision and other serv- ices that health centers successfully integrate into their model of care. As the research highlighted in this report has documented, taking this comprehensive approach to primary care through the health center model improves health and lowers health system costs significantly. The Health Centers Program has benefitted from longstand- ing bipartisan support due to this proven effectiveness. Today, health centers have a dedicated stream of mandatory funding enacted under the Affordable Care Act, providing still further opportunity for continued expansion to meet the persistent access needs documented in this report. How-
ever, in FY2011, only 67 of 1,900-plus health center
grant applications submitted were awarded due to fund- ing cuts. In FY2012, Congress has provided $200 million in additional funding that should allow for some of the over 1,800-plus unfunded and pending application to be awarded, but many will remain unfunded even as new com- munities lacking primary care continue to be identified. Building the nation’s primary care system on a strong foun- dation of health centers is only attainable with sufficient in- vestment to support expansion efforts and to maintain existing operations. A long and detailed history of research and evidence has proven this is an investment well worth making for the health and productivity of our nation.
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6 Bureau of Primary Health Care (BPHC), Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS). (2010). Uniform Data System (UDS) [NACHC analysis]. Includes all patients of federally funded health centers as reported through the Uniform Data System, as well as NACHC data on non-federally funded health centers, and expected growth through 2011.
7 BPHC, HRSA, HHS. (2009). UDS [NACHC Analysis]; Agency for
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9 Schwatz, K. & Streeter, S. (June, 2011). Kaiser Commission on Medicaid and the Uninsured: Health Coverage for the Unem- ployed. Kaiser Family Foundation.Retrieved from
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14 Carrillo, E., et al. (2011). Defining and Targeting Health Care Ac- cess Barriers. J of Health Care for the Poor and Underserved, (22):562-575.
15 Urban Institute. Kaiser Commission on Medicaid and the Unin- sured. Kaiser Family Foundation.Retrieved from http://www.state- healthfacts.org. (Estimates based on the Census Bureau’s March 2010 and 2011 Current Population Surveys).
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29 Collins, S.R., Robertson, R., Garber, T., & and Doty, M.M. (2012). The Income Divide in Health Care.
30 BPHC, HRSA, HHS. (2010). UDS. [NACHC analysis]. *NACHC,
2011. Includes all patients of federally-funded health centers, non- federally funded health centers, and expected patient growth for 2011. Data on federally-funded health centers from Bureau of Pri- mary Health Care, HRSA, DHHS, 2010 Uniform Data System (UDS). Proportion of all US residents does not account for health centers located in U.S. territories.
31 Hing, E., Hooker, R.S., & Ashman, J.J. (June, 2011). 32 O’Malley, A.S., et al. (2005). Health Center Trends, 1994-2001:
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