Publications

Featured publications

Policy Brief

Variation in Psychological Distress, Life Impairment, and Unmet Need for Care Among Groups of American Indian/Alaska Native Adults in California

This brief uses five years of pooled data from the 2019 to 2023 CHIS to analyze data for all AIAN adults as a single population and as then as multiple populations with diverse Latino ethnic and racial identities.
photo of AIAN woman on report cover and infographics data page

Policy Brief

Addressing Gaps in Digital Supported Decision-Making (SDM) Resources for the Disability Community in California

This policy brief presents findings from a gap analysis of digital supported decision-making (SDM) resources in California.
supported decision making cover with woman and man looking at computer, plus infographic

Policy Brief

Child Care Among California Households With Young Children Ages 0-5

This brief uses data from the 2019–2023 California Health Interview Survey to describe the child care experiences of households with young children aged 0–5 years old, including unmet need for child care, and household spending on child care.
latina,woman,baby,chlld,care,access,cost,young

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Journal Article

Intersection of Complexity and High Utilization Among Health Center Patients Aged 18 to 64 Years (American Journal of Managed Care)

Existing literature indicates that multimorbidity, mental health (MH) conditions, substance use disorders (SUDs), and social determinants of health are hallmarks of high-need, high-cost patients. Health Resources and Services Administration–funded health centers (HCs) provide care to nearly 30 million patients, but data on their patients’ complexity and utilization patterns are limited. Authors identified subgroups of HC patients based on latent concepts of complexity and utilization.

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Journal Article

The Concurrent Burden of Multimorbidity, Mental Health Conditions, and Severe Obesity Among United States Health Center Patients (Obesity Medicine)

This paper examines the association of multimorbidity, mental health (MH) conditions, and obesity severity among health center (HC) patients in the United States. Authors used cross-sectional data from the 2014 Health Center Patient Survey. They examined the independent association of multimorbidity and MH conditions with obesity severity using a multinomial logistic regression model, controlling for potential confounders.

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Journal Article

Examining Trends in Substance Use Disorder Capacity and Service Delivery by Health Resources and Services Administration-Funded Health Centers: A Time Series Regression Analysis (PLOS ONE)

The opioid epidemic and subsequent mortality is a national concern in the U.S. The burden of this problem is disproportionately high among low-income and uninsured populations who are more likely to experience unmet need for substance use services. Authors assessed the impact of two Health Resources and Services Administration (HRSA) substance use disorder (SUD) service capacity grants on SUD staffing and service use in HRSA -funded health centers (HCs).

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Journal Article

The Role of Dentist Supply, Need for Care and Long-Term Continuity in Health Resources and Services Administration-Funded Health Centres in the United States (Community Dentistry and Oral Epidemiology)

​Summary: Health Resources and Services Administration-funded health centres (HCs) are an important source of dental services for low-income and vulnerable patients in the United States.

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Research Report

First Interim Evaluation of California’s Health Homes Program (HHP)

The California Department of Health Care Services (DHCS) implemented the Medi-Cal Health Homes Program (HHP) to serve eligible Medi-Cal Managed Care Plan (MCP) beneficiaries with complex needs, including individuals with chronic conditions and high levels of service utilization. HHP was authorized under California Assembly Bill 361 and approved by the Centers for Medicare and Medicaid Services under Section 2703 of the 2010 Patient Protection and Affordable Care Act.

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Journal Article

Impact of Oral Health Service Expansion Funding at Health Centers in the United States

This study aims to assess the impact of Health Resources and Services Administration (HRSA) investment in oral health through the HRSA FY16 Oral Health Service Expansion (OHSE) funding on workforce, access, and quality in health centers (HCs) from 2015 to 2017.

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Journal Article

Racial/Ethnic Variations in Weight Management Among Patients with Overweight and Obesity Status Who Are Served by Health Centres

This study examines racial/ethnic variations in receipt of provider recommendations on weight loss, patient adherence, perception of weight, attempts at weight loss and actual weight loss among patients with overweight/obesity status at Health Resources and Services Administration‐funded health centres.

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Journal Article

HRSA-funded Health Centers Are an Important Source of Care and Reduce Unmet Needs in Primary Care Services

Authors examined differences in rates of unmet need between low-income uninsured and Medicaid patients of Health Resources and Services Administration–funded health centers (HRSA HCs) and safety-net clinics in general or private physicians. Logistic regression models were used to compare the predicted probabilities of unmet need for uninsured and Medicaid individuals whose usual source of care is HRSA HCs versus clinics in general or private physicians.

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Journal Article

Enabling Services Improve Access to Care, Preventive Services, and Satisfaction Among Health Center Patients

Authors examined how the receipt of enabling services influenced patient health care outcomes based on a nationally representative survey of patients served in 2014 at health centers funded by the Health Resources and Services Administration.

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Journal Article

Improving Outcomes of Care for HRSA-Funded Health Center Patients Who Have Mental Health Conditions and Substance Use Disorders

​The rising prevalence of mental health conditions and substance use disorders (MH/SUD) underscores the important role of health centers (HCs) in caring for low-income and uninsured MH/SUD patients.