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Delivering Ambulatory Health Care: The Successful Experience of An Urban Neighborhood Health Center

Orso, Camille L.

Medical care, 1979-02, Vol.17 (2), p.111-126 [Periódico revisado por pares]

United States: J. B. Lippincott Co

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Título:
Delivering Ambulatory Health Care: The Successful Experience of An Urban Neighborhood Health Center
Autor: Orso, Camille L.
Assuntos: Adolescent ; Adult ; Aged ; Ambulatory Care - statistics & numerical data ; Boston ; Child ; Child, Preschool ; Community Health Centers - economics ; Community Health Centers - organization & administration ; Community Health Centers - statistics & numerical data ; Costs and Cost Analysis ; Delivery of Health Care - economics ; Digestive system diseases ; Fees and Charges ; Financing, Government ; Health care costs ; Humans ; Infant ; Infant, Newborn ; Insurance coverage ; Insurance, Health, Reimbursement ; Medical Indigency ; Mental health ; Mental illness ; Middle Aged ; Musculoskeletal diseases ; Nervous system diseases ; Outcome and Process Assessment (Health Care) ; Pediatrics ; Physicians ; Quality of Health Care ; Skin diseases ; Urban Population
É parte de: Medical care, 1979-02, Vol.17 (2), p.111-126
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: During the past few years, the effectiveness of neighborhood health centers (NHCs) has been questioned, and curtailment of funding has indicated a lack of confidence in this organizational model. This article, however, reports on an urban NHC which has achieved considerable success in delivering health care to its target population at a moderate cost. Fifty-two per cent of all community residents and three-quarters of the children and adolescents were active users of the center. The majority of the patients were from low-income families and had established long-term relationships with center providers. Average visits per patient varied with age, sex, diagnosis and insurance coverage. Center physicians, trained as specialists, functioned primarily as general practitioners delivering preventive services, treating minor injuries and self-limiting diseases, and palliating chronic illness. Preventive care was planned as a focal point of the center's program, but third-party reimbursement policies and the lower priority that many patients placed on nonillness care were two major obstacles to the achievement of this goal. The average cost of health care other than mental health services was approximately $20 per visit and $74 per patient per year. Mental health treatment was more expensive. The findings suggest that reconsideration of the NHC as a viable model for delivering health care to the poor might be worthwhile.
Editor: United States: J. B. Lippincott Co
Idioma: Inglês

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Delivering Ambulatory Health Care: The Successful Experience of An Urban Neighborhood Health Center

Orso, Camille L.

United States: J. B. Lippincott Co

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