全球智库信息集成服务系统(G2TT): Private Safety-Net Clinics: Effects of Financial Pressures and Community Characteristics on Closures

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w21648
来源ID	Working Paper 21648
	Private Safety-Net Clinics: Effects of Financial Pressures and Community Characteristics on Closures
	Suhui Li; Avi Dor; Jesse M. Pines; Mark S. Zocchi; Renee Y. Hsia
发表日期	2015-10-19
出版年	2015
语种	英语
摘要	In order to better understand what threatens vulnerable populations’ access to primary care, it is important to understand the factors associated with closing safety-net clinics. This paper examines how a clinic’s financial position, productivity, and community characteristics are associated with its risk of closure. We examine patterns of closures among private-run primary care clinics (PCCs) in California between 2006 and 2012. We use a discrete-time proportional hazard model to assess relative hazard ratios of covariates, and a random-effect hazard model to adjust for unobserved heterogeneity among PCCs. We find that lower net income from patient care, smaller amount of government grants, and lower productivity were associated with significantly higher risk of PCC closure. We also find that federally qualified health centers (FQHCs) and non-FQHCs generally faced the same risk factors of closure. These results underscore the critical role of financial incentives in the long-term viability of safety-net clinics.
主题	Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health ; Industrial Organization ; Nonprofits
URL	https://www.nber.org/papers/w21648
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/579323
推荐引用方式 GB/T 7714	Suhui Li,Avi Dor,Jesse M. Pines,et al. Private Safety-Net Clinics: Effects of Financial Pressures and Community Characteristics on Closures. 2015.