Thinking Citizen Blog — Community Health Centers (CHCs) — What Exactly Are They? How Many Are There? What Is the History?
Thinking Citizen Blog — Thursday is Health, Health Care, Health Insurance and Global Health Policy Day
Today’s Topic: Community Health Centers (CHCs) — What Exactly Are They? How Many Are There? What Is the History?
This morning I decided to learn a bit more about Community Health Centers in the United States and share the results of my poking around the web. Is anyone familiar with the equivalent in other countries? Does anyone have more up-to-date data? My understanding is that they serve roughly 28 million (principally Medicaid and uninsured patients). Experts — please chime in. Correct, elaborate, elucidate.
FOUR CRITERIA FOR RECEIVING FEDERAL FUNDS UNDER THE PUBLIC SERVICE HEALTH ACT (1944) — first link below
1. “Be located in federally designated medically under-served area (MUA) or serve medically under-served populations (MUP).
2. “Provide comprehensive primary care”
3. “Adjust charges for health services on a sliding fee schedule according to patient income”
4. “Be government by a community board of which a majority of members are patients at the CHC.”
HOW MANY COMMUNITY HEALTH CENTERS ARE THERE? (third link below)
Federally Qualified Health Centers: 1370
Federally Qualified Health Center Look-alikes: 81
Federally Qualified Health Center Service Sites: 12,409
Federally Qualified Health Center Look-alike Service Sites: 334
HISTORY — From NYC, 1901 to the War on Poverty and the Department of Health and Human Services (Wikipedia)
1.“The concept of community health centers in the United States can be traced back to infant milk stations in New York City in 1901. In November 1914, the city established the first district health center in New York at 208 Madison Avenue, serving 35,000 resident’s of Manhattan’s lower east side.”
2. “The official establishment of community health centers was caused by the civil rights movement of the 1960s. The Office of Economic Opportunity OEO) established what was initially called “neighborhood health centers” as a War on Poverty demonstration program.”
3. “Under the modern definition, the first community health center in the United States was the Columbia Point Health Center in Dorchester, Massachusetts, which opened in December 1965.”
NB: “In the early 1970s, the health centers program was transferred to the Department of Health, Education, and Welfare (HEW). The HEW has since become the US Departmentn of Health and Human Services (HHS). Within HHS, the Health Resources and Services Administration (HRSSA), Bureau of Primary Heatlh Care (BPHC) currently administers the program.”
For the last three years of posts organized by theme:
Please share the most interesting thing you learned in the last week related to health, health care or health care policy — the ethics, economics, politics, history…. Or the coolest, most important thing you learned in your life related to health are or health care policy that the rest of us may have missed. Or just some random health-related fact that blew you away.
This is your chance to make some one’s day. Or to cement in your mind something really important you might otherwise forget. Or to think more deeply than you otherwise would about something that matters.