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A county's response to the uninsured.

P J Levin1, P H Busansky, E M Kalashian

  • 1College of Public Health, University of South Florida.

The Journal of American Health Policy
|June 7, 1992
PubMed
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Hillsborough County established a new primary care system for uninsured residents below the federal poverty line. A local sales tax was enacted to fund these accessible health services.

Area of Science:

  • Public Health
  • Health Services Research
  • Health Policy

Background:

  • Hillsborough County faced challenges providing primary care access for uninsured, low-income residents.
  • The County Commission recognized the need for a local solution to address healthcare gaps.

Purpose of the Study:

  • To develop and implement an accessible primary care system for uninsured individuals in Hillsborough County.
  • To establish a sustainable funding mechanism for the new healthcare services.

Main Methods:

  • A Health Care Advisory Board was appointed to design the primary care system.
  • A local sales tax was enacted to finance the provision of health services.

Main Results:

  • A system for delivering primary health care to the target population was successfully established.

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  • A dedicated funding stream through a local sales tax was secured.

    • Conclusions:

    • Local government initiative can effectively address primary care access for vulnerable populations.
    • Sustainable funding is crucial for the long-term success of public health programs for the uninsured.