ArticleJournal of multidisciplinary healthcare2018
Specialty-care access for community health clinic patients: processes and barriers.
Article in Journal of multidisciplinary healthcare, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- "It's hard to wait": Provider perspectives on current genomic care in safety-net NICUs.Genetics in medicine : official journal of the American College of Medical Genetics · 2024Article
- Disparities in Healthcare-Seeking Behavior and Decision Preference Among Hispanics: A Comparative Study Across Races/Ethnicities, SES, and Provider Types.Journal of multidisciplinary healthcare · 2024Article
- Defining and Promoting Pediatric Pulmonary Health: Understanding Sleep and Ventilatory Health.Pediatrics · 2023Article
- Evaluation of a New Performance-Based Health Literacy Measurement Tool for Individuals With Chronic Airways Disease.Respiratory care · 2023Article
- Skin Cancer Education Interventions for Primary Care Providers: A Scoping Review.Journal of general internal medicine · 2022Article
- Association of eConsult Implementation With Access to Specialist Care in a Large Urban Safety-Net System.JAMA health forum · 2021Article
- Evaluation of emergency department-based seizure and epilepsy education: Exploring the need for early epilepsy self-management intervention.Epilepsy & behavior : E&B · 2021Article
- Value of Dermatology Nights at a student-run free clinic.Proceedings (Baylor University. Medical Center) · 2020Article
- The effect of the Iranian health transformation plan on hospitalization rate: insights from an interrupted time series analysis.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCommunity health clinics/centers (CHCs) comprise the US's core health-safety net and provide primary care to anyone who walks through their doors. However, access to specialty care for CHC patients is a big challenge. MATERIALS AND
methodsIn this descriptive qualitative study, semistructured interviews of 37 referral coordinators of CHCs were used to describe their perspectives on processes and barriers to patients' access to specialty care. Analysis of data was done using content analysis.
resultsThe process of coordinating care referrals for CHC patients is complex and begins with a provider's order for consultation and ends when the referring provider receives the specialist's note. Poverty, specialist and referral coordinator shortages, lack of insurance, insurance acceptability by providers, transport and clinic-location factors, lack of clinic-hospital affiliations, and poor communication between primary and specialty providers constitute critical barriers to specialty-care access for patients.
conclusionUnderstanding the complexities of specialty-care coordination processes and access helps determine the need for comprehensive and uninterrupted access to quality health care for vulnerable populations. Guaranteed access to primary care at CHCs has not translated into improved access to specialty care. It is critical that effective policies be pursued to address the barriers and minimize interruptions in care, and to ensure continuity of care for all patients needing specialty care.
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