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List: turbine-torque-dev
Subject: [Db-torque Wiki] Update of "Globe+Correspondent" by ScottEade
From: Apache Wiki <wikidiffs () apache ! org>
Date: 2007-09-10 22:47:42
Message-ID: 20070910224742.8926.39378 () eos ! apache ! org
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The following page has been changed by ScottEade:
http://wiki.apache.org/db-torque/Globe+Correspondent
The comment on the change is:
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+ deleted
- But community health centers draw patients for a number of reasons. They offer \
"one-stop shopping," which can include dental care, substance abuse \
treatment,
- pediatric and prenatal care, and social services. Most have child care and \
translators on site for non-English speakers.
- With the new Massachusetts health insurance law boosting the number of patients \
seeking care, community health centers south of Boston are scrambling \
to meet
- the demand.
-
- Sign up for: Globe Headlines e-mail | Breaking News Alerts Manet Community Health \
Center, which has four locations in Quincy and one in Hull, is hiring \
two
- new family care physicians and a nurse practitioner. Brockton Neighborhood Health \
Center now stays open two hours later on weeknights. In February, it \
hired
- a nurse practitioner, two medical assistants, and two social workers, and is \
planning to hire 20 more staff members in the next six months.
-
- "We've seen a really significant increase in visits by new patients," said Sue \
Joss, executive director of the Brockton health center. "Our phones \
are
- ringing off the hook for new patients."
-
- The two centers are the only ones directly south of Boston. But community health \
centers in Fall River and New Bedford, which also serve people from \
this
- region, are experiencing the same increase in demand, and expanding hours to meet \
it.
-
- The state's universal health insurance law, which is being rolled out this year, is \
bringing formerly uninsured people into the healthcare system. Many \
of
- these individuals and families are turning to community health centers, the locally \
based nonprofit organizations that arose from the antipoverty \
movement of
- the 1960s.
-
- "We are front and center in the new healthcare legislation," said Kerin O'Toole, \
spokeswoman for the Massachusetts League of Community Health Centers. \
"We've
- seen quite a surge in demand. Although in many cases patients could go elsewhere, \
the health centers offer a whole range of services you can't get from \
a
- private provider."
-
- The nation's first community health center opened at Columbia Point in Dorchester \
in 1965 as part of President Johnson's war on poverty.
-
- Similar centers, supported by federal aid and private grants, opened across the \
country in poor and medically underserved areas. Today, the United \
States has
- more than a thousand centers, 52 of them in Massachusetts.
-
- Business is thriving. In April, the Brockton center on Main Street saw a 12 percent \
spike in patient visits over last year, and in May, a 9 percent \
increase.
- A new $16 million center is under construction next to the cramped downtown \
facility and is scheduled to open in November.
-
- Statewide, patient loads at community health centers have been on the rise. In \
2006, centers in Massachusetts saw 760,301 patients, an increase of \
nearly
- 94,000, or 14 percent, over the previous year.
-
- The surge in demand at community health centers with the new law was not fully \
expected. The centers have long been a safety net in the healthcare \
system -
- places where people could go whether they had insurance or not. The insured usually \
have many choices when seeking care
-
- Sign up for: Globe Headlines e-mail | Breaking News Alerts "People are more aware \
of the community health centers and the services we provide," said \
Sheryl
- Turgeon, chief executive officer of Healthfirst, which draws patients from Fall \
River and nearby towns.
-
- Community health centers also do outreach for Commonwealth Care, the new state \
health insurance program, and visitors to most centers can sign up \
for health
- insurance on the spot.
-
- The heavy promotions the state has been doing to get the uninsured to sign up and \
take advantage of healthcare also seems to be a factor in the \
increasing
- number of visits, according to Toni McGuire, chief executive officer of the Manet \
center.
-
- "I think one of the biggest reasons for the increase is the advertising around \
Commonwealth Care," McGuire said. Said Joss of the Brockton center, \
"There was
- never this kind of publicity around the free-care pool."
-
- In the past, institutions that treated the uninsured were compensated by a pool of \
money administered by the state and paid into by hospitals and other \
large
- providers.
-
- Another reason that community health centers are seeing more patients is that three \
of the four insurers working with Commonwealth Care tend to direct
- subscribers to the centers, according to Alan Sager, director of the health reform \
program at Boston University School of Public Health.
-
- Sager said he is concerned that some community health centers may not be able to \
hire physicians quickly enough to meet the demand.
-
- "If health centers were deluged by dozens more patients every day, how quickly \
could they respond?" he asked.
-
- A Massachusetts Medical Society report issued last month warned of a growing \
shortage of primary care physicians and some specialists, based on \
surveys of
- doctors and Massachusetts residents.
-
- "The community health centers rely heavily on primary care physicians, and if there \
is a shortage in the state, the centers would be exposed to that
- shortage," said B. Dale Magee, president of the Massachusetts Medical Society.
-
- So far, directors of centers south of Boston say they have been able to hire \
qualified staff and otherwise meet the demands of new patients - in \
part by
- expansion.
-
- The Manet center recently purchased the building it had been renting in North \
Quincy and is eyeing expansion on the site. The center also opened a \
clinic at
- Quincy Medical Center.
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- The Greater New Bedford center recently expanded its downtown facility, more than \
doubling its square footage. Brockton's new facility will \
approximately
- double its patient capacity.
-
- "We're taking a pretty aggressive stance as we get ready to move into the new \
building," said Joss. "It seems right now the demand will be there."
-
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