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Federally Qualified Health Centers (FQHCs)
Publications
Alphabetical list. You can also view by publication date.
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Dentist Vacancies in Federally Funded Health Centers
Research center:
WWAMI Rural Health Research Center
Topics:
Dental health,
Federally Qualified Health Centers (FQHCs),
Workforce
Date: 12 / 2005
Presents results for dentists from a study of staffing needs at Federally Qualified Health Centers (FQHCs). Provides information on dentist vacancy rates by rural and urban location. Compares dentist vacancies to other health care provider vacancies at FQHCs.
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Emergency Department Use By Medically Indigent Rural Residents
Author(s): Kevin Bennett, Janice C. Probst, Charity G. Moore, Judith A. Shinogle
Research center:
South Carolina Rural Health Research Center
Topics:
Emergency medical services (EMS),
Federally Qualified Health Centers (FQHCs),
Health services,
Hospitals and clinics
Date: 07 / 2003
Examined emergency department (ED) use, combining national data and South Carolina state data to estimate the uncompensated charges in rural EDs nationally and the ameliorating effects of rural community health centers on ED use by rural residents. Executive summary available online.
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Family Physician Vacancies in Federally Funded Health Centers
Research center:
WWAMI Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Physicians,
Workforce
Date: 11 / 2005
Presents results for family physicians from a study of staffing needs at Federally Qualified Health Centers (FQHCs). Provides information on family physician vacancy rates by rural and urban location. Compares family physician vacancies to other physician vacancies at FQHCs.
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Health Center Expansion and Recruitment Survey 2004: Results by Health and Human Services Regions and Health Center Geography
Author(s): C. Holly A. Andrilla, L. Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Workforce
Report Number: Technical report
Date: 03 / 2007
Reports findings from the national study of health centers staffing, recruitment and retention. Provides information by HHS region, urban and rural geography, and national overall estimates. Includes 118 graphs of selected survey results.
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Integrating Primary Care and Mental Health: Current Practices in Rural Community Health Centers
Author(s): David Lambert, John Gale
Research center:
Maine Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Mental health
Citation: Kansas City, MO: National Rural Health Association
Date: 10 / 2006
Provides information on models for integrating mental health services in rural community health centers, viability of linkages between primary care and mental health providers, resources available, reimbursement, treatment philosophy, diversification, referral and enhancement. Available for purchase.
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Registered Nurse Vacancies in Federally Funded Health Centers
Research center:
WWAMI Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Nurses,
Workforce
Date: 12 / 2006
Discusses the registered nurse (RN) vacancy rate in federally funded health centers, which varies by degree of rurality.
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Results of the 2004 Health Center Expansion and Recruitment Survey for Health Centers: Analyses for Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI States)
Author(s): C. Holly A. Andrilla, L. Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Workforce
Date: 11 / 2006
Presents a subset of the findings from
the larger national study of Federally Qualified Health Center (FQHC) staffing needs of FQHCs located in Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) overall and by urban and rural geography.
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Role of Community Mental Health Centers as Rural Safety Net Providers
Author(s): David Hartley, Donna C. Bird, David Lambert, John Coffin
Research center:
Maine Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Mental health
Report Number: Working Paper No. 30
Date: 05 / 2002
Investigates the extent to which those organizations formerly designated as community mental health centers (CMHCs) currently act as a rural mental health safety net, e.g., provide mental health services for free or at reduced charges to rural populations not covered by public or private insurance or grants. Findings: Based on three comparative case studies, CMHCs continue to believe that it is within their mission to act as a mental health safety net, but all three also acknowledged that their priority population is now SPMI (serious and persistent mental illness) adults and SED (seriously emotionally disturbed) children. Their ability to serve indigent clients who do not fall into these categories depends on their ability to cross-subsidize such services with funds designated for their priority populations. These providers were also able to fund some safety net services with grant funds made available through federal and regional programs, often targeted to outreach and prevention. In Minnesota and Oregon, county government and county funded social services also supplemented the safety net in meaningful ways. Lacking such county involvement, the Maine CMHC was forced to use waiting lists to manage the demand for free care. We conclude that county funding and grant writing are two ways that CMHCs have been able to plug the otherwise widening hole in the rural mental health safety net. Based on the findings, the report recommends an explicit discussion of the mental health safety net, both urban and rural, using the Institute of Medicine's report on America's Health Care Safety Net as a model. Also recommended are outreach programs to facilitate access to services for rural residents experiencing stress, depression and anxiety, and a shift from diagnosis-specific funding to the use of a family systems approach for those thus referred.
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Shortages of Medical Personnel At Community Health Centers: Implications for Planned Expansion
Author(s): Roger A. Rosenblatt; C. Holly A. Andrilla; Thomas Curtin; L. Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Physicians,
Workforce
Citation: JAMA, 295(9), 1042-1049
Date: 2006
To examine the status of workforce shortages that may limit Community Health Center (CHC) expansion, the authors surveyed all 846 federally funded US CHCs that directly provide clinical services and are within the 50 states and the District of Columbia. Analysis of the results showed that CHCs face substantial challenges in recruitment of clinical staff, particularly in rural areas. The largest numbers of unfilled positions were for family physicians at a time of declining interest in family medicine among graduating US medical students.
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Sustaining Community Health Services Over Time: Models from the Rural Health Outreach Grant Program
Author(s): Walter R. Gregg, Astrid Knott, Ira Moscovice
Research center:
Minnesota Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Health services
Date: 11 / 2004
Discusses post-grant sustainability of services provided by recipients of Rural Health Outreach Grant Program projects. Based on site visits to a medical rehabilitation project in Wyoming, a prenatal outreach project in Maryland, and a community health center in Oregon.
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