Regenstein M, Nolan L, Wilson M, Mead H, Siegel B. 2004. Walking a tightrope: The state of the safety net in ten U.S. communities. Washington, DC: George Washington University School of Public Health and Health Services, 54 pp. (Urgent matters)
Annotation: This summary report assesses the state of America's health care safety net, a term that has come to refer broadly to public hospitals, community health centers, public health departments, faith-based clinics, and others who, either by mission or mandate, provide significant amounts of health care to people who are uninsured or underinsured and who cannot cover the costs of care from their own resources. Ten communities across the country were assessed: Memphis, TN; Detroit, MI; Phoenix, AZ; San Diego, CA; Lincoln, NE; Boston, MA; Queens, NY; Fairfax County, VA; San Antonio, TX; and Atlanta, GA. Chapter contents include descriptions of the following from the ten communities studied: structure and financing, availability of services for uninsured and underserved patients, results from focus group meetings with residents in the ten communities, care and use of emergency departments of hospitals in the areas studied, and key findings and strategies for strengthening the safety net. The report also contains an executive summary, end notes, and reports on the assessment including partners and contact information. Separate and detailed reports are provided for each of the ten communities. Statistical information is provided in charts, tables, and graphs throughout the summary and in each individual community report.
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Keywords: Access to health care, Arizona, California, Clinics, Georgia, Health agencies, Health care delivery, Health care systems, Health facilities, Health programs, Health services delivery, Massachusetts, Michigan, Nebraska, New York, Program evaluation, Public health programs, Public hospitals, Tennessee, Texas, Underserved communities, Uninsured persons, Virginia