COVID-19 Federal Funding To Health Centers: Tracking Distribution, Locations, And Patient Characteristics.

Autor: Cole MB; Megan B. Cole, Boston University, Boston, Massachusetts., Wright B; Brad Wright, University of South Carolina, Columbia, South Carolina., Kett PM; Paula M. Kett, University of Washington, Seattle, Washington., Johnson H; Hannah Johnson, University of Washington., Staloff J; Jonathan Staloff, University of Washington and Veterans Affairs Puget Sound Health Care, Seattle, Washington., Frogner BK; Bianca K. Frogner (bfrogner@uw.edu), University of Washington.
Jazyk: angličtina
Zdroj: Health affairs (Project Hope) [Health Aff (Millwood)] 2024 Aug; Vol. 43 (8), pp. 1190-1197.
DOI: 10.1377/hlthaff.2024.00018
Abstrakt: In 2020 and 2021, health centers received federal funding to support their COVID-19 pandemic response, yet little is known about how the funds were distributed. This study identified ten sources of funding distributed to 1,352 centers, ranging from $19 to $1.22 billion per center. When we examined patient and organizational characteristics by quartiles of funding per patient, health centers in the highest-funded quartile (quartile 4) were more likely rural and in the South; employed lower percentages of physicians; and had the highest percentages of sicker, uninsured, and unhoused patients. Centers in the lowest-funded quartile (quartile 1) were more likely urban, employed lower percentages of nurse practitioners, and had the highest percentages of Medicaid enrollees. With the end of pandemic-related funding in 2023, combined with Medicaid unwinding concerns, targeted investment is needed to mitigate a financial cliff and help maintain health centers' capacity to provide high-quality services to those most in need.
Databáze: MEDLINE