Cook Nakela L, Hicks LeRoi S, O'Malley A James, Keegan Thomas, Guadagnoli Edward, Landon Bruce E
Health Care Policy Department, Harvard Medical School, Boston, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1459-68. doi: 10.1377/hlthaff.26.5.1459.
Although community health centers (CHCs) provide primary health services to the medically underserved and poor, limited access to off-site specialty services may lead to poorer outcomes among underinsured CHC patients. This study evaluates access to specialty health services for patients receiving care in CHCs, using a survey of medical directors of all federally qualified CHCs in the United States in 2004. Respondents reported that uninsured patients had greater difficulty obtaining access to off-site specialty services, including referrals and diagnostic testing, than did patients with Medicaid, Medicare, or private insurance.
尽管社区卫生中心（CHCs）为医疗服务不足和贫困人群提供初级卫生服务，但获得外部专科服务的机会有限可能导致未充分投保的社区卫生中心患者的治疗效果较差。本研究通过对2004年美国所有联邦合格社区卫生中心的医疗主任进行调查，评估了在社区卫生中心接受治疗的患者获得专科卫生服务的情况。受访者报告称，与有医疗补助、医疗保险或私人保险的患者相比，未参保患者在获得外部专科服务（包括转诊和诊断检测）方面困难更大。
