ArticleHealth services research2025
Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011-2019.
Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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
2 citing papers in PubMed.
- Combating the Silent Othering in Dental Education, Dental Public Health, and Community Health Practice to Advance Health Equity.Journal of public health dentistry · 2026Review
- Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011-2019.Health services research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo estimate the effect of Community Health Center (CHC) site losses on county-level mortality rates. STUDY SETTING AND
designWe conducted a natural experiment study using difference-in-differences analysis of propensity score-matched US counties from 2011 through 2019. DATA SOURCES AND ANALYTIC SAMPLE: The study included 3142 US counties, with 177 counties experiencing CHC site losses in 2014, per data from the health resources and services administration. PRINCIPAL
findingsLoss of CHC sites was associated with an increase in age-adjusted all-cause mortality of 3.54 deaths per 100 000 population (95% CI: 1.19, 5.90; p = 0.003) in the year following the loss. The largest increase was observed for cancer mortality (2.61 per 100 000; 95% CI: 0.59, 4.62; p = 0.011). Primary care physician density and patient volume loss both mediated the relationship.
conclusionsCHC site losses were associated with increases in mortality. Preserving CHC access may be important for maintaining population health, particularly in underserved areas.
Indexed as
Identifiers
What OpenQuestion holds
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.