Pourat Nadereh, Hadler Max W
UCLA Center for Health Policy Research and Department of Health Policy and Management at the UCLA Fielding School of Public Health, USA.
Policy Brief UCLA Cent Health Policy Res. 2014 May(PB2014-4):1-6, appendix.
Community health centers (CHCs) are a cornerstone of the health care safety net. They are the primary source of care for many low-income populations, including both those newly insured under the Affordable Care Act (ACA) and those who were left out and will remain uninsured. The ACA provides challenges and opportunities for CHCs, which will require significant changes in infrastructure and care delivery approaches to meet those challenges. This policy brief assesses the progress made by CHCs in Los Angeles County in meeting a number of key indicators of ACA readiness in early 2014. The authors find that 39 percent of CHCs are well prepared, 23 percent have made some progress, and the rest are at the initial phases of preparation and/or lack adequate resources to meet the requirements. The latter group of CHCs require help to embark on strategic improvements in infrastructure and care delivery.
社区健康中心（CHCs）是医疗安全网的基石。它们是许多低收入人群的主要医疗服务来源，这些人群包括根据《平价医疗法案》（ACA）新参保的人群以及那些被排除在外且仍未参保的人群。ACA给社区健康中心带来了挑战和机遇，这将需要在基础设施和医疗服务提供方式上进行重大变革以应对这些挑战。本政策简报评估了洛杉矶县的社区健康中心在2014年初满足ACA准备就绪的一些关键指标方面所取得的进展。作者发现，39%的社区健康中心准备充分，23%取得了一些进展，其余的则处于准备的初始阶段和/或缺乏足够资源来满足要求。后一组社区健康中心需要帮助来着手进行基础设施和医疗服务提供方面的战略改进。
