The role of community health centers in reducing racial disparities in spatial access to primary care

Abstract

Introduction: Racial minorities are more likely to live in primary care shortage areas. We sought to understand community health centers’ (CHCs) role in reducing disparities. Methods: We surveyed all primary care practices in an urban area, identified low access areas, and examined how CHCs influence spatial accessibility. Results: Census tracts with higher rates of public insurance (≥40% vs <10%, odds ratio [OR] = 31.06, P <10%, OR = 0.42, P =.045) were less likely. Racial composition was not associated with proximity. Tracts close to a CHC were less likely (OR = 0.11, P