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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Series: | Journal of Primary Care & Community Health |
Online Access: | https://doi.org/10.1177/2150132719891970 |
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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 |
work_keys_str_mv |
AT marymford actionableanalysistowardajurisdictionalevaluationofprimarycareaccessinthecommunitycontext AT kirstenweisbeck actionableanalysistowardajurisdictionalevaluationofprimarycareaccessinthecommunitycontext AT bonniekerker actionableanalysistowardajurisdictionalevaluationofprimarycareaccessinthecommunitycontext AT louisecohen actionableanalysistowardajurisdictionalevaluationofprimarycareaccessinthecommunitycontext |
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1724505163140431872 |