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2019 Uniform Data System Report: An Analysis of Asian American-, Native Hawaiian-, and Pacific Islander-Serving Health Centers

CP20 - 2019 Uniform Data System Report: An Analysis of Asian American-, Native Hawaiian-, and Pacific Islander-Serving Health Centers

Poster Type: Research

Track/Topic: Demonstrating Value; Expanding Access to Care and Other Services; Improving Care for Special Populations; Quality of Care and Quality Improvement; Social Determinants of Health; Workforce

Research Objectives: Asian American (AAs), Native Hawaiian (NHs), and Pacific Islanders (PIs) are the fastest-growing major racial or ethnic group in the United States and its territories. AAPCHO analyzed the UDS data of AA-, NH-, and PI-serving health centers to assess health disparities, workforce development trends, and recommendations to improve population health.

Research Study Design/Methods: AAPCHO analyzed health center and patient data using the Uniform Data System (UDS), an annual reporting system by the Health Resources and Services Administration (HRSA) for health centers. AAPCHO identified AA-, NH-, and PI-serving health centers as the top 10% of health centers in terms of the number of AA, NH, and PI patients served at the health center in 2019 and NH- and PI-serving health centers as health centers that served greater or equal to 1,000 NH and PI patients combined in 2019.

Research Principal Findings and Quantitative/Qualitative Results: On average, AA-, NH-, and PI-serving and NH- and PI-serving health centers had more full-time Enabling Services staff than health centers nationally. Compared to the national health center average, both AA-, and PI-serving and NH- and PI-serving health centers reported a higher proportion of limited English proficient, low-income, Medicaid, and publicly insured patients. However, and PI-serving and NH- and PI-serving health centers demonstrated higher rates of childhood immunization, cervical cancer screening, and controlled hypertension than the national average.

Research Conclusions on Impact on Health Centers: Overall, AA-, NH-, and PI-serving and NH- and PI-serving health centers had a higher proportion of patients with social risk factors, but demonstrated higher quality of care in several areas. The higher quality of care may be attributable to the health centers’ higher rates of Enabling Services staff. These results inform how health centers serving AA, NH, and PI populations can prioritize their resources. Investing in more Enabling Services staff at AA-, and PI-serving and NH- and PI-serving health centers may decrease health disparities for AA, and PI patients.

Authors:

Sakura Miyazaki, Program Manager, Training and Technical Assistance, AAPCHO

Vivian Li, MS, Research Analyst, AAPCHO

Joe Lee, MSHA, Director of Strategic Initiatives and Partnerships, Association of Asian Pacific Community Health Organizations

Albert Ayson, Associate Director, Training and Technical Assistance, AAPCHO