Navigation Links
Health reform: How community health centers could offer better access to subspecialty care
Date:8/30/2012

FINDINGS:
The Affordable Care Act will fund more community health centers, making primary care more accessible to the underserved. But this may not necessarily lead to better access to subspecialty care.

In a new study, researchers from the David Geffen School of Medicine and Robert Wood Johnson Foundation Clinical Scholars program at UCLA and colleagues investigated the ways in which community health centers access subspecialty care. They identified six major models and determined which of those six offered the best access:

Tin cup
Center providers rely on personal relationships with informal networks of subspecialists (the most prevalent model).

Hospital partnership
Center has a contract with a community hospital for subspecialty care.

Buy your own
Center hires subspecialists.

Telehealth
Telecommunications equipment is used to connect patients with subspecialists.

Teaching community
Centers train primary-care resident physicians and integrate subspecialists as faculty.

Integrated system
Centers are integrated with local government health systems or safety-net hospitals having subspecialist networks.

Of the six, the researchers found that the "integrated system" model offered the most comprehensive access to subspecialty care.

IMPACT:
Payment reform is needed to move community health centers toward becoming part of integrated systems. Two new initiatives of the Centers for Medicare and Medicaid Services (CMS) can help. First, the State Innovation Models initiative will provide $275 million for states to plan, design and test new payment and delivery system models that aim to involve all payers and providers in the state. Also, the CMS has issued guidance describing pathways for how states can design and implement integrated care models for Medicaid populations. The new research offers guidance for states in creating such models.


'/>"/>
Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles Health Sciences
Source:Eurekalert

Related medicine news :

1. You Survived Cancer: Now Pay Attention to Your Overall Health
2. NIH awards $20 million over 5 years to train next generation of global health researchers
3. Weill Cornell Medical College establishes Center for Healthcare Informatics and Policy
4. Esophageal Cancer Surgery Can Leave Lingering Health Problems, Study Says
5. Climate Change Could Be Tough on Seniors Health: Study
6. Supporting LGB children may influence their long-term health, BU study finds
7. U.S. Spends Too Little on Public Health Initiatives: Report
8. Optimal care of bariatric surgery patients vital for long-term health and well-being
9. Timing pregnancy an important health concern for women
10. Unique approach needed to accurately assess health of young adult cancer survivors
11. Social ties have mixed impact on encouraging healthy behaviors in low-income areas
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/28/2017)... (PRWEB) , ... May 28, 2017 , ... Starting in ... with Nerve-Express, the latest Heart Rate Variability (HRV) diagnostic test. , Nerve-Express, originally designed ... and R-R interval, indicating the state of a patient’s autonomic nervous system (ANS). ...
(Date:5/27/2017)... (PRWEB) , ... May 26, 2017 , ... A May ... who visit a doctor for colds or respiratory issues that are not responsive to ... time pressure on doctors may be largely responsible for the problem both in Canada ...
(Date:5/26/2017)... (PRWEB) , ... May 26, 2017 , ... Mediaplanet is ... Wound Care" campaign in USA Today, which will educate readers on how to take ... the campaign, a large focus is placed on melanoma. Dancing with the Stars professional, ...
(Date:5/26/2017)... ... May 26, 2017 , ... ... the CareFusion NOX-T3 portable sleep monitor with its Somnoware Sleep Device Interface (SDI). ... interface for diagnostic device operations. With this platform, initializing devices and importing studies ...
(Date:5/26/2017)... ... 26, 2017 , ... After raising nearly $30,000 on Kickstarter , about ... available at a discounted crowdfunding price on Indiegogo . , “Along with creating ... wanted to bring a fidget toy to the market that was made of superior ...
Breaking Medicine News(10 mins):
(Date:5/9/2017)... 9, 2017  Oramed Pharmaceuticals Inc. (NASDAQ: ... pharmaceutical company focused on the development of oral ... Intellectual Property Office has granted Oramed a patent ... Exenatide". The patent covers Oramed,s invention of an ... is an incretin hormone that stimulates the secretion ...
(Date:5/6/2017)... Provista , a proven leader in the supply chain industry ... Jim Cunniff as the company,s new president and CEO. ... Provista, including most recently serving as the president and CEO ... He assumed his new role with Provista on May 1, ... says Jody Hatcher , president, Sourcing and Collaboration Services ...
(Date:5/4/2017)... MEMPHIS, Tenn. , May 4, 2017 /PRNewswire/ ... of Infection Control, Ultraviolet-C light as ... demonstrated Tru-D SmartUVC,s ability to reduce bioburden on ... influenced bioburden reduction on high-touch, complex medical equipment ... in surgical infections. "This study further ...
Breaking Medicine Technology: