Evidence map›Paper›PMID 39948567›Full record

ArticleBMC health services research2025

The problem of programmatic funding: flexibility challenges for community health centers.

Emily Burroughs, Sorcha A Brophy, Thalia Porteny

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Emily BurroughsDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York, USA.
Sorcha A BrophyDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York, USA. sab2360@cumc.columbia.edu.ORCID http://orcid.org/0000-0002-2849-5303
Thalia PortenyDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity Health Centers (CHCs) are a vital part of the health safety net, providing high quality care to underserved communities with complex health and social needs. Yet, despite their crucial role, CHCs operate on slim financial margins, relying in part on grant funding streams. Little is known about the role that grant requirements have in directing the functioning of CHCs.

methodsWe conducted qualitative thematic analysis, based on 56 semi-structured interviews of CHC leadership and staff in New York City.

resultsThree overarching themes described ways that CHCs are hampered by the designs and requirements of grant funding: 1) narrowness of available funding, 2) lack of access to operational funding, and 3) inability to utilize available funding to address workforce needs.

conclusionsOur analysis illuminates the tension between the weighty charge placed on CHCs as key pillars of the health safety net and the inflexible grant funding mechanisms available to sustain them. Restrictive funding limits CHCs' capacity to deliver comprehensive care and meet community needs.

Indexed as

Community Health CentersFinancing, OrganizedSafety-net ProvidersHumansInterviews as TopicNew York CityQualitative ResearchCommunity health centerFinancingFlexibilityGrant funding

Identifiers

PMID39948567
PMCPMC11823083

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.