Useful Resources

Community Health Centers: A Snapshot

September 29, 2009

Community health centers — outpatient clinics established explicitly for low-income, uninsured and publicly insured patients, as well as migrant workers and the homeless — are a major component of the United States' health care safety net. These freestanding clinics may can be operated by private nonprofits, local public health departments, public hospitals, or partnerships between local governments and nonprofit organizations.

In 2007, an estimated 1,002 community health centers operated 6,208 different sites. A major goal of these centers is to provide primary care to persons who might otherwise seek care in local emergency rooms, further burdening financially strapped hospitals.

The Health Resources and Services Administration, a department of the Department of Health and Human Services, oversees this large network of clinics. Most of them are Federally Qualified Health Centers, a designation that entitles them to federal grants under section 330 of the Public Health Service Act (PHS). However, a growing number are designated "FQHC Look-Alike" clinics, a designation that entitles them to some, but not all, federal benefits.

Today, the nation's community clinics are challenged by both financial cutbacks due to a recession and uncertainty over health reform.

Understanding Community Health Centers
Health Resources and Services Administration (HRSA)

This agency is part of the Department of Health and Human Services and oversees a nationwide network of Federally Qualified Health Clinics (FQHC). Its Web site provides an overview of the program, as well as information on how to find a center.

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Understanding Community Health Centers
Rural Assistance Center (RAC)

The Rural Assistance Center, part of the Department of Health and Human Services, has a Web site that provides basic information on community health centers and the FQHC designation and "FQHC Look-Alike" designation.

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Statistics
National Health Policy Forum (NHPF)

This is a non-partisan, Washington-based think tank established by members of Congress to increase their understanding of health policy. Among other papers, it contains the downloadable 2004 report, "The Fundamentals of Community Health Centers."

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American Journal of Public Health (AJPH)

The journal has published numerous research papers on the role of Community Health Centers today. The full text of many articles can be downloaded for free.

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Journal of Healthcare for the Poor and Underserved

This journal has numerous articles on the unique challenges facing community health centers.

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Public Policy
Kaiser Family Foundation (KFF)

This foundation publishes many reports on aspects of the nation's health care safety net, including community health centers.

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The Robert Graham Center: Policy Studies in Family Medicine and Primary Care

This is a think tank devoted to improving "individual and population health" by advancing primary care delivery. It publishes research and information on community health clinics.

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Advocacy
National Association of Community Health Centers (NACHS)

This is a nonprofit advocacy organization devoted to improving the health of migrant workers by supporting health care organizations that provide care to this population. The Web site includes a newsletter and list of grantees.

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National Association of Public Hospitals and Health Systems (NAPH)

This organization advocates for public hospitals and community clinics.

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Guidance for Consumers
Health Resources and Services Administration (HRSA)

This link on the HRSA Web site will locate community health centers by geographic area.

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Blogs
Health Center News and Happenings

Blog of the National Association of Community Health Centers (NACHC).

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