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Among older adults, counties with either safety net facility had lower ACS hospitalization rates than counties with none.
In urban areas, access to public transportation (routes, hours, frequency of transport) clearly needs to be assessed when planning safety net facility hours and locations.
Adjusted admission rates for ACS conditions among older adults were 12% lower among counties that had a CHC plus an RHC, compared with those having no safety net facility, and were 16% lower across counties having only a CHC.
In unadjusted results for uninsured working age adults, counties with at least one CHC, but no RHC, had an average ACS hospitalization rate per 1,000 uninsured persons of 8.44, compared with an average rate of 10.40 for counties with neither safety net facility (p = 0.0029).
Similar(56)
At first, the vast majority of the program's participants were true safety net facilities dedicated to serving the poorest and most vulnerable.
They say their patients have come to rely on a particular level of comprehensive, non-judgmental care, regardless of how much money they have or what their life circumstances include ― care that is often in short-supply at resource-strapped safety net facilities.
Third, the study did not control for the potential presence of additional safety net facilities, such as free clinics.
[ 3] In both rural and urban settings, safety net facilities can have marked effects on population health.
Further research linking older adults to specific safety net facilities is needed to clarify the findings of the present ecological analysis.
Two principal types of federally designated safety net facilities serve these areas: federally qualified community health centers (CHCs) and rural health clinics (RHCs).
When demographic and health resource characteristics of the counties were controlled in multivariable analysis, there were no differences in the rates of ACS hospitalization among uninsured persons associated with the presence of safety net facilities in the county.
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