Journal of Community Health

, Volume 3, Issue 2, pp 156–170

Neighborhood health centers

A decade of experience
  • Milvoy S. Seacat
Commentaries

Abstract

The first neighborhood health center was funded in 1965 by the Office of Economic Opportunity. Now, 12 years later, 127 federally funded centers are serving over a million people. The centers have offered a high quality of service, delivered comprehensive care that includes preventive services and health supervision, developed a workable team approach in such care, and shown that this can be done at reasonable cost.

Evaluative studies made on center effectiveness in disease prevention, in reduction of hospitalization and emergency room usage, and in improving the quality of care show that the centers compare favorably with other methods of providing similar care. Problems of financing are discussed, as well as possible directions for the future.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Directory of Community Health Centers, November 1975. Department of Health, Education, and Welfare, Public Health Service, Health Services Administration, Bureau of Community Health Services, Rockville, Md.Google Scholar
  2. 2.
    Schorr LB: The neighborhood health center—Background and current issues. In L Corey, SE Saltman, MF Epstein (eds):Medicine in a Changing Society. St. Louis, C.V. Mosby, 1972. Pp 138–147.Google Scholar
  3. 3.
    Community Health Centers, Program Status and Management Plan, July 1974. Department of Health, Education, and Welfare, Public Health Service, Health Services Administration, Bureau of Community Health Services, Rockville, Md.Google Scholar
  4. 4.
    Banta HD, Fox RC: Role strains of a health care team in a poverty community: The Columbia Point experience.Soc Sci Med 6697–722, 1972.Google Scholar
  5. 5.
    Wise H, Beckhard R, Rubin I, et al:Making Health Teams Work. Cambridge: Ballinger Publishing Co, 1974.Google Scholar
  6. 6.
    Torrey EF, Smith D, Wise H: The family health worker revisited: A five-year follow-up.Am J Public Health 6371–74, 1973.Google Scholar
  7. 7.
    Morrill RG: A new mental health services model for the comprehensive neighborhood health center.Am J Public Health 62 1108–1111, 1972.Google Scholar
  8. 8.
    Borus JF: Neighborhood health centers as providers of primary mental-health care.N Engl J Med 295 140–145, 1976.Google Scholar
  9. 9.
    Langston JH, Herd JH, Liffring RF, et al:Study to Evaluate the OEO Neighborhood Health Center Program at Selected Centers. Vol. 1. Rockville, Md, Geomet, Inc, 1972.Google Scholar
  10. 10.
    Bellin SS, Geiger HJ: Actual public acceptance of the neighborhood health center by the urban poor.JAMA 2142147–2153, 1970.Google Scholar
  11. 11.
    Chabot A: Improved infant mortality rates in a population served by a comprehensive neighborhood health program.Pediatrics 47989–994, 1971.Google Scholar
  12. 12.
    Bellin SS, Geiger HJ, Gibson CA: Impact of ambulatory-health-care services on the demand for hospital beds: A study of Tufts Neighborhood Health Center at Columbia Point in Boston.N Engl J Med 280808–812, 1969.Google Scholar
  13. 13.
    Hochheiser LE, Woodward K, Charney E: Effect of the neighborhood health center on the use of pediatric emergency departments in Rochester, New York.N Engl J Med 285148–152, 1971.Google Scholar
  14. 14.
    Gold MR, Rosenberg RG: Use of emergency room services by the population of a neighborhood health center.Health Services Reports 8965–70, 1974.Google Scholar
  15. 15.
    Moore GT, Bernstein R, Bonanno RA: Effect of a neighborhood health center on hospital emergency room use.Med Care 10240–247, 1972.Google Scholar
  16. 16.
    Morehead MA, Donaldson RS, Seravalli RM: Comparisons between OEO neighborhood health centers and other health care providers of ratings of the quality of health care.Am J Public Health 611294–1306, 1971.Google Scholar
  17. 17.
    Morehead MA, Donaldson R: Quality of clinical management of disease in comprehensive neighborhood health centers.Med Care 12301–315, 1974.Google Scholar
  18. 18.
    Brook RH, Williams KN: Quality of health care for the disadvantaged.J Community Health 1132–156, 1975.Google Scholar
  19. 19.
    Tilson HH: Characteristics of physicians in OEO neighborhood health centers.Inquiry 1027–38, 1973.Google Scholar
  20. 20.
    Tilson HH: Stability of physician employment in neighborhood health centers.Med Care 11384–400, 1973.Google Scholar
  21. 21.
    Paxton GS, Sbarbaro JA, Nossaman N: A core city problem: Recruitment and retention of salaried physicians.Med Care 13209–218, 1975.Google Scholar
  22. 22.
    Notkin H, Notkin MS: Community participation in health services: A review article.Med Care 271178–1201, 1970.Google Scholar
  23. 23.
    Public Law 94-63, Title V—Community Health Centers, Section 330, July 29, 1975.Google Scholar
  24. 24.
    Kane RA, Kane RL: Galloping consumption: Consumer participation in health programs. In RL Kane (ed):The Challenges of Community Medicine. New York, Springer Publishing Co, 1974. Pp 165–179.Google Scholar
  25. 25.
    Jonas S: A theoretical approach to the question of “community control” of health services facilities.Am J Public Health 61916–921, 1971.Google Scholar
  26. 26.
    Salber EJ:Caring and Curing: Community Participation in Health Services. New York, Prodist, 1975. P 5.Google Scholar
  27. 27.
    Bellin LE, Kavaler F, Schwarz A: Phase one of consumer participation in policies of 22 voluntary hospitals in New York City.Am J Public Health 62 1370–1378, 1972.Google Scholar
  28. 28.
    Reynolds RA: Improving access to health care among the poor—The neighborhood health center experience.Milbank Mem Fund Q 5447–82, 1976.Google Scholar
  29. 29.
    Sparer G, Anderson A: Utilization and cost experience of low-income families in four prepaid group practice plans.N Engl J Med 28967–72, 1973.Google Scholar
  30. 30.
    Sparer G, Anderson A: Cost of services at neighborhood health centers: A comparative analysis.N Engl J Med 2861241–1245, 1972.Google Scholar
  31. 31.
    Zwick DI: Some accomplishments and findings of neighborhood health centers.Milbank Mem Fund Q 50387–420, 1972.Google Scholar

Copyright information

© Human Sciences Press 1977

Authors and Affiliations

  • Milvoy S. Seacat

There are no affiliations available

Personalised recommendations