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Journal of Immigrant and Minority Health

, Volume 14, Issue 4, pp 698–705 | Cite as

Factors Influencing Healthcare Utilization Within a Free Community Clinic

  • Chinda S. Douangmala
  • Sarah A. Hayden
  • Lindsay E. Young
  • Jennifer Rho
  • Lisa L. Schnepper
Original Paper

Abstract

The purpose was to explore the relationship between the presence of a free community clinic and factors associated with utilization of healthcare through a secondary data analysis. Using a descriptive correlational design, results were analyzed to explore relationships between potential utilization of healthcare, identification of a regular source of healthcare, and health insurance status. Most subjects would not seek healthcare if the free community clinic was not available. Subjects with health insurance were significantly more likely to have a regular source of healthcare and seek healthcare in the absence of the free community clinic. Subjects with a regular source of healthcare were significantly more likely to seek healthcare in the absence of the free community clinic. Emergency room utilization was not impacted by regular source of healthcare or health insurance. This study supports the need for free community clinics in areas with high percentages of uninsured, immigrant, and refugee populations.

Keywords

Immigrant Access to healthcare Utilization of healthcare Health insurance Free community clinic 

References

  1. 1.
    US Department of Health and Human Services, Agency for Healthcare Research and Quality (AHRQ): National healthcare disparities report (AHRQ Publication No. 09-0002). Retrieved from the US Department of Health and Human Services website: http://www.ahrq.gov/qual/qrdr08.htm (2009).
  2. 2.
    Davidson PL, Andersen RM, Wyn R, Brown ER. A framework for evaluating safety-net and other community-level factors on access for low-income populations. Inquiry. 2004;41(1):21–38.PubMedCrossRefGoogle Scholar
  3. 3.
    Lewin ME, Altman S: America’s health care safety net: intact but endangered. 2000. Retrieved from IOM website: http://books.nap.edu/openbook.php?record_id=9612&page=R1.
  4. 4.
    Guendelman S, Angulo V, Wier M, Oman D. Overcoming the odds: access to care for immigrant children in working poor families in California. Matern Child Health J. 2005;9(4):351–62. doi: 10.1007/s10995-005-0018-2.PubMedCrossRefGoogle Scholar
  5. 5.
    Brown RE, Davidson PL, Yu H, Wyn R, Andersen RM, Becerra L, Razack N. Effects of community factors on access to ambulatory care for lower-income adults in large urban communities. Inquiry. 2004;41(1):39–56.PubMedCrossRefGoogle Scholar
  6. 6.
    Callahan ST, Hickson GB, Cooper WO. Health care access of hispanic young adults in the United States. J Adolesc Health. 2006;39:627–33. doi: 10.1016/j.jadohealth.2006.04.012.PubMedCrossRefGoogle Scholar
  7. 7.
    Choi S. Insurance status and health service utilization among newly-arrived older immigrants. J Immigr Minor Health. 2006;8(2):149–61. doi: 10.1007/s10903-006-8523-3.PubMedCrossRefGoogle Scholar
  8. 8.
    Goldman DP, Smith JP, Sood N. Legal status and health insurance among immigrants. Health Aff. 2005;24(6):1640–53. doi: 10.1377/hlthaff.24.6.1640.CrossRefGoogle Scholar
  9. 9.
    Siddiqi A, Zuberi D, Nguyen QC. The role of health insurance in explaining immigrant versus non-immigrant disparities in access to health care: comparing the United States to Canada. Soc Sci Med. 2009;69(9):1452–9. doi: 10.1016/j.socscimed.2009.08.030.PubMedCrossRefGoogle Scholar
  10. 10.
    Guendelman S, Schauffler HH, Pearl M. Unfriendly shores: how immigrant children fare in the US health system. Health Aff. 2001;20(1):257–66.CrossRefGoogle Scholar
  11. 11.
    Van Wie A, Ziegenfuss J, Blewett LA, Davern M. Persistent disparities in health insurance coverage: hispanic children, 1996–2005. J Health Care Poor Underserved. 2008;19(4):1181–91. doi: 10.1353/hpu.0.0069.PubMedCrossRefGoogle Scholar
  12. 12.
    Javier JR, Wise PH, Mendoza FS. The relationship of immigrant status with access, utilization, and health status for children with asthma. Ambul Pediatr. 2007;7(6):421–30.PubMedCrossRefGoogle Scholar
  13. 13.
    Rhodes SD, Hergenrather KC, Zometa C, Lindstrom K, Montaño J. Characteristics of immigrant Latino men who utilize formal healthcare services: baseline findings from the HoMBReS study. J Nat Med Assoc. 2008;100(10):1177–85.Google Scholar
  14. 14.
    Nandi A, Galea S, Lopez G, Nandi V, Strongarone SL, Ompand DC. Access to and use of health services among undocumented Mexican immigrants in a US urban area. Am J Public Health. 2008;98(1):2011–20. doi: 10.2105/AJPH.2006.096222.PubMedCrossRefGoogle Scholar
  15. 15.
    Urrutia-Rojas X, Marshall K, Trevino E, Lurie SG, Minguia-Bayona G. Disparities in access to health care and health status between documented and undocumented Mexican immigrants in North Texas. Hispanic Health Care Int. 2006;4(1):5–14.CrossRefGoogle Scholar
  16. 16.
    Granados G, Puvvula J, Berman N, Dowling PT. Health care for Latino children: impact of child and parental birthplace on insurance status and access to health services. Am J Public Health. 2001;91(11):1806–7.PubMedCrossRefGoogle Scholar
  17. 17.
    Weissman JS, Stern R, Fielding SL, Epstein AM. Delayed access to health care: risk factors, reasons, and consequences. Ann Intern Med. 1991;114(4):325–31.PubMedGoogle Scholar
  18. 18.
    Huang ZJ, Yu SM, Ledsky R. Health status and health service access and use among children in US immigrant families. Am J Public Health. 2006;96(4):634–40.PubMedCrossRefGoogle Scholar
  19. 19.
    Norris TL, Aiken M. Personal access to health care: a concept analysis. Public Health Nurs. 2006;23(1):59–66.PubMedCrossRefGoogle Scholar
  20. 20.
    US Census Bureau: Small area health insurance estimates: 2007 Health insurance coverage status for states. Retrieved from the U.S. Census Bureau website: http://smpbff1.dsd.census.gov/TheDataWeb_HotReport/servlet/HotReportEngineServlet?reportid=51d34d449df14db3f4fdde9db7f4fff6&emailname=saeb@census.gov&filename=sahie07_st.hrml (2010).
  21. 21.
    US Census Bureau: Small area health insurance estimates: 2005 health insurance coverage status for counties. Retrieved from the US Census Bureau website: http://smpbff1.dsd.census.gov/TheDataWeb_HotReport/servlet/HotReportEngineServlet?reportid=8394baf3874328875bb4da9dfcde3d8b&emailname=saeb@census.gov&filename=SAHIE-County07.hrml (2008).
  22. 22.
    Ortega AN, Fang H, Perez VH, Rizzo JA, Carter-Pokras O, Wallace SP, Geler L. Health care access, use of services, and experiences among undocumented Mexicans and other Latinos. Arch Intern Med. 2007;167(21):2354–60.PubMedCrossRefGoogle Scholar
  23. 23.
    Cots F, Castells X, García O, Riu M, Felipe A, Vall O: Impact of immigration on the cost of emergency visits in Barcelona (Spain). BMC Health Serv Res. 2007; 7(9). doi:  10.1186/1472-6963-7-9.
  24. 24.
    National Association of Community Health Centers: Access granted: the primary care payoff. Retrieved from the National Association of Community Health Centers website: http://www.graham-center.org/online/etc./medialib/graham/documents/publications/mongraphs-books/2007/rgcmo-access-granted.Par.0001.File.tmp/rgcmo-access-granted.pdf (2007).
  25. 25.
    Kraft AD, Quimbo SA, Solon O, Shimkhada R, Florentino J, Peabody JW. The health and cost impact of care delay and the experimental impact of insurance on reducing delays. J Pediatr. 2009;155(2):281–5. doi: 10.1016/j.jpeds.2009.02.035.PubMedCrossRefGoogle Scholar
  26. 26.
    Organisation for Economic Co-Operation and Development (OECD): OECD health data 2010: How does the United States compare? Retrieved from the OECD website: http://www.oecd.org/dataoecd/46/2/38980580.pdf (2010).
  27. 27.
    US Department of Health and Human Services, AHRQ, Medical Expenditures Panel Survey (MEPS): Trends in health care expenditures for adults ages 45–64: 2006 versus 1996 (MEPS Statistical Brief No. 255). Retrieved from http://dc.d4bccf.client.atlantech.net/mepsweb//data_files/publications/st255/stat255.pdf (2009).
  28. 28.
    Smith-Campbell B. Emergency department and community health center visits and costs in an uninsured population. J Nurs Scholarsh. 2005;37(1):80–6.PubMedCrossRefGoogle Scholar
  29. 29.
    Burns N, Grove SK. The practice of nursing research: appraisal, synthesis, and generation of evidence. 6th ed. St. Louis: Saunders Elsevier; 2009.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Chinda S. Douangmala
    • 1
  • Sarah A. Hayden
    • 1
  • Lindsay E. Young
    • 1
  • Jennifer Rho
    • 2
  • Lisa L. Schnepper
    • 1
  1. 1.Winona State UniversityRochesterUSA
  2. 2.Hawthorne Education CenterRochesterUSA

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