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New Jersey federally qualified health centers: capacity building and sustainability under the Affordable Care Act
Descriptive
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Title
New Jersey federally qualified health centers: capacity building and sustainability under the Affordable Care Act
Name
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Miller-Armbrister
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Julane W.
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Miller-Armbrister, Julane W.
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author
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Sabrina Marie
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Sabrina Marie Chase
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Advisory Committee
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chair
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Backstrand
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Jeffery
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Jeffery Backstrand
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Advisory Committee
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internal member
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(type = family)
Lassiter
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Terri
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Terri Lassiter
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Advisory Committee
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internal member
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Wamsley-Ault
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Susan
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Susan Wamsley-Ault
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Advisory Committee
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outside member
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Rutgers University
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degree grantor
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Graduate School - Newark
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school
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theses
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2020
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2020-05
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English
Abstract
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Primary healthcare is the foundation of the nation’s healthcare infrastructure. It is an essential component of advancing healthcare reform and better health outcomes for all. Federally Qualified Health Centers (FQHCs) constitute one of the largest networks of primary care providers both in New Jersey and across the nation. The Patient Protection and Affordable Care Act (ACA) has recognized that FQHCs are critical providers of primary healthcare to millions of uninsured and underinsured individuals. A significant body of literature suggests that FQHCs can exhibit strikingly different levels of readiness to function as sustainable providers, but there has been little research focusing on their capacity to adapt and meet the growing demands of the current healthcare environment. This qualitative study examined the capacity of New Jersey’s FQHCs to expand and sustain access to primary healthcare services. It also explored the impact of the ACA on FQHC capacity building in the state. In Phase 1 of the project, both the Brown et al. (2001), Conceptual Framework for Mapping Capacity and the results of a focus group of FQHC administrators, staff and clinicians, and other industry leaders were used to design a semi-structured interview guide. In Phase 2 of the project, twenty in-depth interviews were conducted with FQHC board members, administrators, clinicians and staff from a wide range of New Jersey FQHCs. Study participants reported different levels of FQHC readiness to respond to the ACA and varying levels of ability to engage in capacity building for enhanced organizational performance. Study findings also highlight how the contexts in which New Jersey FQHCs operate influence their approach to sustainability and the degree to which they engage in capacity building. Finally, the results of this study point to the need for research that examines the impact of public policy on capacity building in FQHCs nationwide.
Subject
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Topic
New Jersey federally qualified health centers
Subject
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Topic
Urban Systems
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Rutgers University Electronic Theses and Dissertations
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ETD
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Graduate School - Newark Electronic Theses and Dissertations
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rucore10002600001
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ETD_10875
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doi:10.7282/t3-y15k-tc61
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application/pdf
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text/xml
Extent
1 online resource (xvii, 346 pages)
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Ph.D.
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Includes bibliographical references
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ETD doctoral
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
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Miller-Armbrister
GivenName
Julane W.
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Permission or license
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2020-04-29 10:47:43
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Julane W. Miller-Armbrister
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Affiliation
Rutgers University. Graduate School - Newark
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2020-05-20T16:36:28
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2020-05-20T16:36:28
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