State funding of comprehensive primary medical care service programs for medically underserved populations.
This study examined the availability of state funding for comprehansive primary care programs and the need for primary care subsidies for medically underserved communities.
A brief questionnaire was uded to ask health agencies in all 50 states whether their state funded a program that met our definition of comprehensive primary medical care practice programs.
An in-depth written survey instrument was then administered to the states with programs.
Almost half of all states provide some funds for the development and/or operation of comprehensive primary medical care practices.
Expenditures in most states were found to be relatively modest in comparison with both federal funding and the total level of unmet need for primary care.
States that subsidize primary care practices tend to follow the model established under the federal health centers program.
The findings suggest the continued viability of the health center model of care, as well as the presence of some state support for such a program.
However, in light of limited state resources for the development and operation of comprehensive practices, a continued and significant federal effort is imperative.
Mots-clés Pascal : Subvention, Financement, Gouvernement, Soin santé primaire, Soin intégré, Statut socioéconomique, Faible, Assurance maladie, Pauvreté, Accessibilité, Système santé, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Subsidy, Financing, Government, Primary health care, Managed care, Socioeconomic status, Low, Health insurance, Poverty, Accessibility, Health system, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0196256
Code Inist : 002B30A01B. Création : 11/09/1998.