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  11. Community Health Centers' Response To Covid-19 And Serving The Community: This Feeling Of Never Being Enough And Never Doing Enough

Community Health Centers' Response to COVID-19 and Serving the Community: This Feeling of Never Being Enough and Never Doing Enough

Cecilia Hurtado1, James D Harrison, Susan L Ivey

  • 1Author Affiliations: UC Berkeley-UCSF Joint Medical Program (Ms Hurtado and Dr Ivey), School of Public Health (Dr Ivey, Fleming), University of California Berkeley, Berkeley, California; School of Medicine (Ms Hurtado), Division of Hospital Medicine (Dr Harrison), Department of Family and Community Medicine (Dr Potter), Division of General Internal Medicine, Department of Medicine (Dr Nguyen), Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine (Dr Palmer), University of California San Francisco, San Francisco, California; HERE with Community Advisory Board (Drs Lewis, Khandelwal, Nguyen, Ofman, and Mss Moheno, Carbajal, Echaveste, Osborne, Bossier), San Francisco, California; Department of Pediatrics(Dr Lewis), Benioff Children׳s Hospital Oakland, University of California San Francisco, Oakland, California; Division of General Internal Medicine, Department of Medicine (Dr Khandelwal), University of California San Francisco, Fresno Medical Education Program, Fresno, California; Family HealthCare Network (Dr Khandelwal), Visalia, California; and San Francisco Community Clinic Consortium (Dr Ofman), San Francisco, California.

The Journal of Ambulatory Care Management
|May 9, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Community health centers (CHCs) adapted to COVID-19 by innovating care delivery and partnerships. Lessons learned can improve future services, addressing persistent barriers like funding and access to specialty care.

Area of Science:

  • Public Health
  • Health Services Research
Keywords:
COVID-19community health centersfederally qualified health centershealthcare administrators

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  • Organizational Studies

    • Background:

    • Community Health Centers (CHCs) are crucial safety nets for underserved populations.
    • Limited research exists on CHC organizational changes during the COVID-19 pandemic.

    Purpose of the Study:

    • To qualitatively examine the longitudinal, comprehensive pandemic response of CHCs.
    • To understand the perspectives of CHC staff, administrators, and researchers.

    Main Methods:

    • Thematic content analysis of 18 focus groups and interviews.
    • Participants included 25 leaders, staff, and researchers from CHC networks and academic medical centers.
    • Data collected between April and October 2022 in California.

    Main Results:

    • Three pandemic phases identified: shutdown, pivot, and recovery.
    • Shutdown: Paused services, strained staff capacity.
    • Pivot: Built trust, innovated care delivery, formed partnerships.
    • Recovery: Re-prioritized preventive care, faced ongoing access issues for specialty care and socioeconomic resources.

    Conclusions:

    • The pandemic exacerbated existing CHC challenges: funding, staff capacity, and collaboration infrastructure.
    • Adaptations offer opportunities to invest in workforce, infrastructure, and collaboration for post-COVID service improvement.
    • Continued investment is vital for CHCs to better serve communities.
    healthcare workers
    organizational processes