Author Affiliations: HealthLandscape, Robert Graham Center, American Academy of Family Physicians, Washington, District of Columbia (Dr Rankin, Ms McCann, Dr Topmiller, and Mr Grolling); and Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Maryland (Ms Benjamin and Drs Yu-Lefler, Hoang, and Sripipatana).
J Ambul Care Manage. 2024;47(4):247-257. doi: 10.1097/JAC.0000000000000507. Epub 2024 Aug 23.
The Health Resources and Services Administration's (HRSA) Health Center Program provides health care to vulnerable persons across the US, regardless of their ability to pay for health care. We examined characteristics of populations living within and outside a 30-minute drive-time to HRSA-supported health centers to establish a baseline to better understand the differences in these populations. Using a descriptive, cross-sectional study design and geographic information systems, we found that 94% of persons in the US live within a 30-minute drive-time of a health center. Of those outside a 30-minute drive-time to a health center, 11.7 million (60.11%) are rural and over 1.5 million households (20.32%) lack broadband internet access.
美国卫生资源与服务管理局（HRSA）的健康中心项目为全美弱势群体提供医疗服务，无论其支付医疗费用的能力如何。我们研究了生活在 HRSA 支持的健康中心 30 分钟车程范围内和之外的人群特征，以此为基础，更好地了解这些人群之间的差异。通过描述性、横断面研究设计和地理信息系统，我们发现美国 94%的人口居住在健康中心 30 分钟车程范围内。在那些距离健康中心超过 30 分钟车程的人群中，有 1170 万人（60.11%）生活在农村地区，超过 150 万户家庭（20.32%）没有宽带互联网接入。
