Summary
The authors examined the associations between community residential segregation by income and race/ethnicity, and the supply of federally qualified health centers (FQHCs) in urban areas.
Counties with a high non-white dissimilarity index and a high percentage of minorities were more likely to have an FQHC in 2000. The authors found that the addition of new FQHCs from 2000 to 2007, the effects of both poverty and non-white dissimilarity indices were positive and significant. Residential segregation likely produces geographic segregation of health services, such that provider maldistribution may explain the association between residential segregation and FQHC supply. Metropolitan areas that fail to achieve greater integration of poor and minority communities may require FQHCs to compensate for provider shortages.
Publication Authors:
- Michelle Ko MD, PhD
- Ninez A. Ponce, PhD, MPP