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CATEGORIES:Defenses
DESCRIPTION:“Geographic Variation in Access to Federally Qualified Health C
 enters and Health Outcomes”\n\n \n\nDissertation Committee\n\nEvan S. Cole\
 , PhD\, Research Associate Professor\, Department of Health Policy and Mana
 gement (Committee Chair)\n\nBrittany Brown-Podgorski\, PhD\, MPH\, Assistan
 t Professor\, Department of Health Policy and Management\n\nColeman Drake\,
  PhD\, Associate Professor\, Department of Health Policy and Management\n\n
 Christina F. Mair\, PhD\, MPH\, Professor\, Department of Behavioral and Co
 mmunity Health Sciences\n\n \n\nAbstract\n\nFederally qualified health cent
 ers (FQHCs) provide essential primary care services to those living in Medi
 cally Underserved Areas and Populations at low or no cost. The Affordable C
 are Act expanded funding to FQHCs in 2010\, increasing the number of center
 s annually. This dissertation explores the distribution of new FQHCs and ho
 w new centers impact access and health outcomes. \n \nAim 1 examines associ
 ations between area-level characteristics and where new FQHCs are located. 
 Urban census block groups with high area deprivation index (ADI) scores wer
 e more likely to have a new FQHC established within a 5-minute driving time
  and 30-minute public transit travel time from the block group centroid bet
 ween 2010 and 2019. No association was found between ADI and new FQHCs with
 in a 30-minute drive in rural areas. Aim 2 investigates whether new FQHCs i
 mprove health and access outcomes\; having a usual source of care\, having 
 an office visit in the last year\, and self-reported health and mental heal
 th. There were no differences in any outcomes after a new FQHC was establis
 hed within a 5-minute driving time or 30-minute public transit travel time 
 in urban areas. There was a small increase in self-reported fair or poor me
 ntal health among rural respondents after new FQHCs were established within
  a 30-minute drive time relative to those in areas without a new FQHC. Aim 
 3 investigates differences in changes in the same outcomes within two sets 
 of subgroups\; ADI of residence and individual race and ethnicity. After ga
 ining an FQHC within a 5-minute drive in urban areas\, rates of fair or poo
 r self-rated health and mental health decreased for those in the most depri
 ved areas relative to the least deprived. In the analyses by race and ethni
 city\, in rural block groups\, rates of fair or poor mental health were low
 er among Black respondents relative to White respondents. \n \nFQHCs are be
 ing located in areas that likely have higher care needs\, though health and
  access outcomes are not consistently improving after new FQHCs open. Targe
 ted placement of FQHCs in combination with efforts to reduce other barriers
  to care will likely maximize the potential positive effects of FQHCs.
DTEND:20250402T160000Z
DTSTAMP:20260412T004336Z
DTSTART:20250402T140000Z
GEO:40.442859;-79.958417
LOCATION:Public Health\, 1155
SEQUENCE:0
SUMMARY:Dissertation Defense: Stephanie Doran-Brubaker
UID:tag:localist.com\,2008:EventInstance_49037042635257
URL:https://calendar.pitt.edu/event/dissertation-defense-sdb
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