The provisions of the Affordable Care Act (ACA) are expected to increase demand for primary care services across the United States as millions of people gain health insurance through health insurance exchanges and expansion of Medicaid and children’s health insurance programs.1 Many of these newly insured patients will be medically complicated, and the millions of patients without insurance wil...

F qualifi ed health centers, also known as community health centers (CHCs), care for our nation’s neediest populations. By latest count, 1,128 federally qualifi ed health centers operate more than 8,500 sites serving 20.2 million men, women, and children.1 These numbers are expected to grow with expanded funding via the Patient Protection and Aff ordable Care Act. Community health centers are c...

BACKGROUND Obesity and hypertension and their associated health complications disproportionately affect communities of color and people of lower socioeconomic status. Recruitment and retention of these populations in research trials, and retention in weight loss trials has been an ongoing challenge. METHODS Be Fit, Be Well was a pragmatic randomized weight loss and hypertension management tri...

Clinical practice with community health perspective makes community medicine a unique specialty. In their health centers, community physicians not only implement disease prevention programs, assess community health needs, manage healthcare teams and advocate for health promoting policies but also diagnose and treat diseases. However, participation of community medicine faculty in the delivery o...

OBJECTIVES China is facing the unprecedented challenge of rapidly increasing rural-to-urban migration. Migrants are in a vulnerable state when they attempt to access to primary care services. This study was designed to explore rural-to-urban migrants' experiences in primary care, comparing their quality of primary care experiences under different types of medical institutions in Guangzhou, Chin...