ArticleHealth services research2019
Change in geographic access to community health centers after Health Center Program expansion.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Concept Analysis and Proposed Definition ofJournal of primary care & community healthPooled it
- Enhancing patient accessibility of primary care: the redesign of Italian territorial medicine.Health care management science · 2025Article
- Effects of spatial accessibility of community health services on the activities of daily living among older adults in China: a propensity score matching study.Frontiers in public health · 2024Article
- Influence of geospatial resolution on sociodemographic predictors of COVID-19 in Massachusetts.Annals of epidemiology · 2023Article
- Geographic access to federally qualified health centers before and after the affordable care act.BMC health services research · 2022Article
- A comparison of methods for measuring spatial access to health care.Health services research · 2021Article
- Change in geographic access to community health centers after Health Center Program expansion.Health services research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine geographic access to community health centers (CHC accessibility) before and after Health Center Program expansion in three Southern states. DATA SOURCES: Community health center data were from the Health Resources and Services Administration (1967-2016). Population estimates and sociodemographic characteristics were from the American Community Survey (2006-2015). STUDY
designWe used the two-step floating catchment area method to calculate CHC accessibility for census tracts in 2008 and 2016. We mapped census tract-level variation and used spatial regression to assess to what extent indicators of potential CHC need were associated with change in accessibility from 2008 to 2016. PRINCIPAL
findingsCommunity health center accessibility increased by 192 percent overall, and the proportion of tracts with no accessibility decreased by 65 percent. Indicators of potential need were not associated with greater gains in CHC accessibility from 2008 to 2016, but census tracts with less accessibility at baseline saw larger accessibility increases.
conclusionsCommunity health center accessibility substantially increased from 2008 to 2016, but increases did not differentially impact groups with greater potential need. This approach for measuring CHC accessibility offers significant improvement in granularity over traditional CHC accessibility measures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.