Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context

Primary care is the foundation of health care systems and has potential to alleviate inequities in population health. We examined multiple measures of adult primary care access, health status, and socioeconomic position at the New York City Council District level—a unit of analysis both relevant to...

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Main Authors: Mary M. Ford, Kirsten Weisbeck, Bonnie Kerker, Louise Cohen
Format: Article
Language:English
Published: SAGE Publishing 2019-12-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150132719891970
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spelling doaj-251523db783541a8962c048b67529deb2020-11-25T03:46:39ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272019-12-011010.1177/2150132719891970Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community ContextMary M. Ford0Kirsten Weisbeck1Bonnie Kerker2Louise Cohen3Primary Care Development Corporation, New York, NY, USAPrimary Care Development Corporation, New York, NY, USANew York University Langone Health, New York, NY, USAPrimary Care Development Corporation, New York, NY, USAPrimary care is the foundation of health care systems and has potential to alleviate inequities in population health. We examined multiple measures of adult primary care access, health status, and socioeconomic position at the New York City Council District level—a unit of analysis both relevant to and actionable by local policymakers. The results showed significant associations between measures of primary care access and health status after adjustment for socioeconomic factors. We found that an increase of 1 provider per 10 000 people was associated with a 1% decrease in diabetes rates and a 5% decrease in rates of adults without an influenza immunization. Furthermore, higher rates of primary care providers in high-poverty districts accepted Medicaid and had Patient-Centered Medical Home recognition, increasing constituent accessibility. Our findings highlight the significant contribution of primary care access to community health; policies and resource allocation must prioritize primary care facility siting and provider recruitment in low-access areas.https://doi.org/10.1177/2150132719891970
collection DOAJ
language English
format Article
sources DOAJ
author Mary M. Ford
Kirsten Weisbeck
Bonnie Kerker
Louise Cohen
spellingShingle Mary M. Ford
Kirsten Weisbeck
Bonnie Kerker
Louise Cohen
Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context
Journal of Primary Care & Community Health
author_facet Mary M. Ford
Kirsten Weisbeck
Bonnie Kerker
Louise Cohen
author_sort Mary M. Ford
title Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context
title_short Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context
title_full Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context
title_fullStr Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context
title_full_unstemmed Actionable Analysis: Toward a Jurisdictional Evaluation of Primary Care Access in the Community Context
title_sort actionable analysis: toward a jurisdictional evaluation of primary care access in the community context
publisher SAGE Publishing
series Journal of Primary Care & Community Health
issn 2150-1327
publishDate 2019-12-01
description Primary care is the foundation of health care systems and has potential to alleviate inequities in population health. We examined multiple measures of adult primary care access, health status, and socioeconomic position at the New York City Council District level—a unit of analysis both relevant to and actionable by local policymakers. The results showed significant associations between measures of primary care access and health status after adjustment for socioeconomic factors. We found that an increase of 1 provider per 10 000 people was associated with a 1% decrease in diabetes rates and a 5% decrease in rates of adults without an influenza immunization. Furthermore, higher rates of primary care providers in high-poverty districts accepted Medicaid and had Patient-Centered Medical Home recognition, increasing constituent accessibility. Our findings highlight the significant contribution of primary care access to community health; policies and resource allocation must prioritize primary care facility siting and provider recruitment in low-access areas.
url https://doi.org/10.1177/2150132719891970
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