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Identifying Key Patient Demographics and Organizational Factors That Contribute to Health Center Participation in Research

Shin, Peter PhD, MPH; Sharac, Jessica MSc, MPH; Beeson, Tishra MPH; Proser, Michelle MPP; Jester, Michelle MA

Journal of Ambulatory Care Management: July/September 2014 - Volume 37 - Issue 3 - p 250–257
doi: 10.1097/JAC.0000000000000006
Original Articles

Federally Qualified Health Centers are well positioned for translational research given their diverse patient population, unique characteristics, and community knowledge. This was the first national survey that assessed their research activities. Those with research experience were more likely to be urban and Health Care for the Homeless grantees and had more patients, minority patients, and physicians relative to nonphysician providers, enabling services providers, Medicaid revenues per Medicaid patient, and total revenues per patient than health centers with no experience and no future interest in research. Only enabling services providers to patient ratios and total patients remained significant after controlling for other factors.

Geiger Gibson/RCHN Community Health Foundation Research, New York, New York (Dr Shin); Department of Health Policy, The Milken Institute School of Public Health, George Washington University, Washington, District of Columbia (Dr Shin and Mss Sharac and Beeson); and, Public Policy and Research, National Association of Community Health Centers, Washington, District of Columbia (Mss Proser and Jester).

Correspondence: Peter Shin, PhD, MPH, Department of Health Policy, The Milken Institute School of Public Health, George Washington University, 2021 K St., NW Ste 800, Washington, DC 20006 (pshin@gwu.edu).

This project was supported by the Clinical and Translational Science Institute at Children's National Medical Center and The George Washington University (through the NIH CTSA program # UL1TR000075) with additional support from the RCHN Community Health Foundation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Center for Research Resources or the National Institutes of Health.

The authors thank individuals at the Community Health Applied Research Network (CHARN), the South Carolina Primary Health Care Association (SCPHCA), and the University of South Carolina (USC) for their partnership in designing and fielding the survey instrument. Special thanks goes to Vicki Young, PhD, and Dayna Campbell, MS (SCPHCA); Heather Brandt, PhD, and Tisha Felder, PhD (USC); and Rosy Chang Weir, PhD, Shelly Enos, MPH, Suzanne Gillespie, MA, MS, Stefan Massimino, MS, Reesa Laws, Christine Nelson, PhD, RN, Mary Oneha, PhD, Thu Quach, PhD, Shao-Chee Sim, PhD, Robbie Singal, MPH, Hui Song, MPH, MS, and Fikirte Wagaw, MPH (CHARN).

The authors also thank the following individuals for their input on designing the survey instrument and/or providing feedback on the analysis: Franco Basanti, PharmD (Urban Health Plan, Inc), Mickey Eder, PhD (Access Community Health Network), William Hobston, MS (WATTS Healthcare Corporation), Paloma Hernandez, MPH, MS (Urban Health Plan, Inc), Vanesscia John, MSW, MPA (California Primary care Association), Patrick McShane (Beaufort-Jasper Hampton Comprehensive Health Services), Chaya Merrill, MPH, DrPH (Children's National Medical Center), Mark Minier, MD (Unity Health Care, Inc.), Greg Nycz (Family Health Center of Marshfield, Inc), Luis Padilla, MD (Unity Health Care, Inc), Perry Payne, MD, MJ, MPP (The George Washington University), Sara Rosenbaum, JD (The George Washington University), Sarena Seifer, MD (Community-Campus Partnership for Health), Jonathan Tobin, PhD (Clinical Directors Network, Inc), Rosy Chang Weir, PhD (Association of Asian Pacific Community Health Organizations), and Vicki Young, PhD (South Carolina Primary Health Care Association).

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins