Table 2.
Type of reported assistance | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Obtaining free medications | Health center transportation | Applying to government benefits | With basic needs* | |||||||||
Unwtd† (n) | Wtd‡ (%) | p value§ | Unwtd (n) | Wtd (%) | p value | Unwtd (n) | Wtd (%) | p value | Unwtd (n) | Wtd (%) | p value | |
Patient-reported demographics | ||||||||||||
Gender | ||||||||||||
Female | 624 | 31.7 | 0.24 | 358 | 11.4 | 0.92 | 751 | 23.6 | 0.87 | 564 | 27.9 | 0.90 |
Male | 783 | 26.0 | 416 | 11.7 | 426 | 24.0 | 910 | 27.6 | ||||
Race/ethnicity | ||||||||||||
Non-Hispanic White | 430 | 27.1 | 0.32 | 191 | 6.3 | < 0.01 | 287 | 18.9 | 0.01 | 374 | 22.0 | 0.02 |
Non-Hispanic Black | 446 | 29.4 | 282 | 24.4 | 283 | 28.8 | 393 | 34.7 | ||||
Non-Hispanic Asian | 63 | 21.9 | 24 | 14.8 | 97 | 39.9 | 109 | 43.7 | ||||
Other | 63 | 4.5 | 56 | 18.5 | 51 | 15.1 | 64 | 38.3 | ||||
Hispanic | 405 | 26.9 | 221 | 10.4 | 459 | 29.4 | 534 | 31.4 | ||||
Age | ||||||||||||
18–44 | 413 | 24.5 | < 0.01 | 239 | 11.3 | 0.05 | 440 | 25.1 | 0.34 | 530 | 28.0 | 0.12 |
45–65 | 894 | 35.9 | 481 | 13.9 | 640 | 23.8 | 830 | 30.1 | ||||
65+ | 100 | 17.1 | 54 | 5.5 | 97 | 16.3 | 114 | 19.3 | ||||
Recent immigrant | ||||||||||||
Yes | 498 | 28.0 | 0.97 | 255 | 10.8 | 0.65 | 568 | 29.3 | 0.04 | 661 | 31.2 | 0.241 |
No | 909 | 28.1 | 519 | 11.9 | 609 | 21.5 | 813 | 26.3 | ||||
Insurance | ||||||||||||
Public | 588 | 35.8 | 0.01 | 365 | 18.5 | < 0.01 | 566 | 28.5 | 0.12 | 693 | 32.0 | 0.53 |
Private | 420 | 21.9 | 245 | 7.5 | 380 | 19.1 | 470 | 22.2 | ||||
Uninsured | 399 | 37.4 | 164 | 6.1 | 231 | 21.7 | 311 | 27.2 | ||||
Patient-reported health status/utilization | ||||||||||||
Reported health status | ||||||||||||
Excellent/very good/good | 606 | 24.2 | < 0.01 | 342 | 10.1 | 0.15 | 542 | 22.5 | 0.38 | 679 | 26.8 | 0.53 |
Fair/poor | 801 | 33.0 | 432 | 13.5 | 635 | 25.3 | 795 | 28.9 | ||||
Multiple chronic conditions | ||||||||||||
Yes | 852 | 33.4 | 0.01 | 457 | 12.4 | 0.42 | 636 | 22.8 | 0.59 | 809 | 26.9 | 0.59 |
No | 555 | 22.4 | 317 | 10.7 | 541 | 24.7 | 665 | 28.6 | ||||
Functional deficits | ||||||||||||
Yes | 466 | 37.2 | < 0.01 | 273 | 15.4 | 0.03 | 358 | 27.4 | 0.17 | 457 | 32.7 | 0.05 |
No | 941 | 24.7 | 501 | 10.2 | 819 | 22.4 | 1017 | 25.9 | ||||
Serious mental illness | ||||||||||||
Yes | 267 | 45.0 | 0.01 | 165 | 20.1 | 0.02 | 168 | 25.8 | 0.66 | 233 | 32.4 | 0.32 |
No | 1140 | 25.6 | 609 | 10.4 | 1009 | 23.4 | 1241 | 27.0 | ||||
Significant emotional distress | ||||||||||||
Yes | 287 | 34.7 | 0.12 | 170 | 20.7 | < 0.01 | 209 | 28.6 | 0.18 | 274 | 36.4 | 0.03 |
No | 1120 | 26.9 | 604 | 10.0 | 968 | 22.9 | 1200 | 26.2 | ||||
Lifetime drug use | ||||||||||||
Yes | 802 | 35.4 | < 0.01 | 438 | 14.4 | 0.02 | 559 | 22.6 | 0.55 | 735 | 26.5 | 0.55 |
No | 605 | 21.7 | 336 | 9.2 | 618 | 24.7 | 739 | 28.8 | ||||
Continuity at health center | ||||||||||||
< 6 months | 169 | 17.8 | 0.22 | 86 | 5.6 | 0.01 | 103 | 13.5 | 0.09 | 157 | 19.9 | 0.23 |
6 months to 1–3 years | 409 | 30.3 | 205 | 8.3 | 317 | 23.4 | 408 | 26.1 | ||||
> 3 years, < 5 years | 213 | 31.5 | 117 | 11.1 | 177 | 23.3 | 215 | 26.7 | ||||
5+ years | 616 | 27.6 | 366 | 16.0 | 479 | 26.2 | 693 | 30.9 | ||||
Emergency department utilization last 12 months | ||||||||||||
Yes | 818 | 32.5 | 0.04 | 481 | 14.0 | 0.01 | 660 | 26.5 | 0.04 | 848 | 30.2 | 0.10 |
No | 589 | 23.6 | 293 | 9.3 | 517 | 21.0 | 626 | 25.3 | ||||
Delay in medical care | ||||||||||||
Yes | 461 | 20.5 | < 0.01 | 265 | 10.7 | 0.62 | 425 | 23.7 | 0.97 | 522 | 26.2 | 0.45 |
No | 946 | 33.2 | 509 | 12.2 | 752 | 23.8 | 952 | 28.8 | ||||
Unable to access medical care | ||||||||||||
Yes | 453 | 21.5 | 0.01 | 259 | 11.5 | 0.96 | 405 | 23.7 | 0.99 | 503 | 26.3 | 0.55 |
No | 954 | 32.3 | 515 | 11.7 | 772 | 23.8 | 971 | 28.6 | ||||
Delay in prescription access | ||||||||||||
Yes | 515 | 28.3 | 0.89 | 292 | 11.7 | 0.96 | 434 | 26.7 | 0.16 | 559 | 31.4 | 0.14 |
No | 892 | 27.9 | 482 | 11.6 | 743 | 22.1 | 915 | 25.7 | ||||
Unable to access prescription | ||||||||||||
Yes | 457 | 30.0 | 0.46 | 261 | 10.7 | 0.60 | 382 | 25.7 | 0.29 | 484 | 30.2 | 0.24 |
No | 950 | 27.1 | 513 | 12.0 | 795 | 22.8 | 990 | 26.5 | ||||
Health center–reported practice level variables | ||||||||||||
Region | ||||||||||||
North East | 221 | 24.7 | 0.53 | 205 | 24.1 | < 0.01 | 226 | 32.2 | 0.15 | 289 | 37.3 | 0.08 |
South | 386 | 27.5 | 151 | 4.3 | 209 | 18.9 | 283 | 20.9 | ||||
Midwest | 236 | 34.0 | 152 | 15.0 | 183 | 20.0 | 237 | 24.1 | ||||
West | 564 | 26.6 | 266 | 8.3 | 559 | 25.8 | 665 | 31.0 | ||||
Urbanicity | ||||||||||||
Urban | 1053 | 28.7 | 0.78 | 595 | 18.5 | < 0.01 | 865 | 27.6 | 0.09 | 1102 | 32.1 | 0.07 |
Rural | 354 | 27.4 | 179 | 5.39 | 312 | 20.3 | 372 | 23.8 | ||||
Health center type | ||||||||||||
PHPC | 119 | 35.4 | < 0.01 | 73 | 21.4 | < 0.01 | 106 | 28.2 | < 0.01 | 128 | 34.5 | < 0.01 |
MHC | 124 | 16.9 | 87 | 12.6 | 165 | 29.1 | 190 | 32.2 | ||||
HCH | 536 | 62.9 | 336 | 39.9 | 313 | 36.6 | 457 | 53.1 | ||||
CHC | 628 | 27.1 | 278 | 10.5 | 593 | 23 | 699 | 26.6 | ||||
Health center panel size | ||||||||||||
≤ 10k | 225 | 33.7 | 0.53 | 112 | 11.0 | 0.45 | 169 | 21.8 | 0.47 | 214 | 31.0 | 0.56 |
> 10k to ≤ 40k | 648 | 27.7 | 340 | 9.5 | 527 | 22.0 | 672 | 25.4 | ||||
> 40k | 534 | 25.8 | 322 | 15.3 | 481 | 27.4 | 588 | 29.7 | ||||
Enabling services < 10% FTE | ||||||||||||
< 10% | 536 | 23.6 | 0.06 | 301 | 9.0 | 0.14 | 441 | 18.5 | 0.02 | 556 | 21.0 | < 0.01 |
≥ 10% | 871 | 32.8 | 473 | 14.4 | 736 | 29.3 | 918 | 34.9 | ||||
Patient reported social risk factors | ||||||||||||
Unstable job | ||||||||||||
Yes | 1103 | 28.0 | 0.96 | 646 | 12.6 | 0.21 | 886 | 23.8 | 0.98 | 1126 | 27.4 | 0.75 |
No | 304 | 28.2 | 128 | 9.2 | 291 | 23.7 | 348 | 28.6 | ||||
Unstable housing | ||||||||||||
Yes | 858 | 38.5 | < 0.01 | 493 | 16.4 | < 0.01 | 575 | 26.1 | 0.35 | 793 | 33.0 | 0.04 |
No | 549 | 23.1 | 281 | 9.4 | 602 | 22.6 | 681 | 25.2 | ||||
Education: < high school diploma/ GED | ||||||||||||
Yes | 592 | 26.7 | 0.52 | 359 | 13.2 | 0.32 | 518 | 24.5 | 0.77 | 647 | 28.4 | 0.80 |
No | 815 | 28.8 | 415 | 10.8 | 659 | 23.3 | 827 | 27.4 | ||||
%Federal poverty level (FPL) | ||||||||||||
≤ 100 | 1002 | 27.7 | 0.13 | 587 | 14.3 | 0.05 | 794 | 25.9 | 0.01 | 1026 | 30.9 | < 0.01 |
101–199 | 338 | 31.6 | 155 | 7.3 | 325 | 23.9 | 383 | 27.0 | ||||
≥ 200 | 67 | 18.5 | 32 | 10.1 | 58 | 10.4 | 65 | 11.5 |
*Basic needs assistance with housing, job, food, childcare, clothing/shoes
†Untd unweighted
‡Wtd weighted
§Two-tailed p values obtained from weighted chi-square analyses comparing differences in patients who reported receiving assistance from their health center vs. those who did not report assistance. When variables have multiple categories, p values reflect between-group differences across all categories