Specialty Care Access in the Safety Net—the Role of Public Hospitals and Health Systems

  title={Specialty Care Access in the Safety Net—the Role of Public Hospitals and Health Systems},
  author={Lena K Makaroun and Chelsea Bowman and Kevin Duan and Nathan Handley and Daniel J. Wheeler and Edgar Pierluissi and Alice Hm Chen},
  journal={Journal of Health Care for the Poor and Underserved},
  pages={566 - 581}
Access to specialty care in the United States safety net, already strained, is fac-ing increasing pressure with an influx of patients following the passage of the Affordable Care Act (ACA). We surveyed 18 public hospitals and health systems across the country to describe the current state of specialty care delivery in safety-net systems. We elicited information regarding challenges, provider models, metrics of access and productivity, and strategies for improving access. Based on our findings… 

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