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Research ArticleOriginal Research

Using Geographic Information Systems (GIS) to Identify Communities in Need of Health Insurance Outreach: An OCHIN Practice-based Research Network (PBRN) Report

Heather Angier, Sonja Likumahuwa, Sean Finnegan, Trisha Vakarcs, Christine Nelson, Andrew Bazemore, Mark Carrozza and Jennifer E. DeVoe
The Journal of the American Board of Family Medicine November 2014, 27 (6) 804-810; DOI: https://doi.org/10.3122/jabfm.2014.06.140029
Heather Angier
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
MPH
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Sonja Likumahuwa
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
MID, MPH
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Sean Finnegan
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
MS
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Trisha Vakarcs
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
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Christine Nelson
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
PhD, RN
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Andrew Bazemore
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
MD, MPH
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Mark Carrozza
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
MA
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Jennifer E. DeVoe
From the Department of Family Medicine, Oregon Health & Science University, Portland (HA, SL, JED); the Robert Graham Center, Washington, DC (SF, AB); OCHIN, Inc., Portland, OR (TV, CN, JED); and the Health Foundation of Greater Cincinnati, Cincinnati, OH (MC).
MD, DPhil
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Article Figures & Data

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    Figure 1.

    Children and Adults without Health Insurance: Rates Visualized from Electronic Health Record Data from Clinics in the OCHIN Practice-based Research Network (PBRN), by ZIP code. (A) Percentage of children without insurance at first visit: <1–18 years of age with at least one visit to any OCHIN PBRN clinic in 2011. (B) Percentage of adults without insurance at first visit: 19–64 years of age with at least one visit to any OCHIN PBRN clinic in 2011.

  • Figure 2.
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    Figure 2.

    Areas with High Rates of Adults and Children without Insurance in OCHIN and Median Household Income Rates by Oregon County by ZIP code. (A) Percentage of children without insurance at first visit in Lincoln, Benton, Polk, Marion Counties, Oregon: <1–18 years of age with at least one visit to any OCHIN PBRN clinic in 2011 (B) Percentage of adults without insurance at first visit in Lincoln, Benton, Polk, Marion Counties, Oregon: 19–64 years of age with at least one visit to any OCHIN PBRN clinic in 2011. (C) Median Household Income (in dollars) at first visit in Lincoln, Benton, Polk, Marion Counties, Oregon: <1–64 years of age with at least one visit to any OCHIN PBRN clinic in 2011.

  • Figure 3.
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    Figure 3.

    Use of Geographic Information Systems (GIS) to identify clinics with patients most likely to benefit from a health insurance outreach intervention. EHR, electronic health record.

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The Journal of the American Board of Family     Medicine: 27 (6)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 6
November-December 2014
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Using Geographic Information Systems (GIS) to Identify Communities in Need of Health Insurance Outreach: An OCHIN Practice-based Research Network (PBRN) Report
Heather Angier, Sonja Likumahuwa, Sean Finnegan, Trisha Vakarcs, Christine Nelson, Andrew Bazemore, Mark Carrozza, Jennifer E. DeVoe
The Journal of the American Board of Family Medicine Nov 2014, 27 (6) 804-810; DOI: 10.3122/jabfm.2014.06.140029

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Using Geographic Information Systems (GIS) to Identify Communities in Need of Health Insurance Outreach: An OCHIN Practice-based Research Network (PBRN) Report
Heather Angier, Sonja Likumahuwa, Sean Finnegan, Trisha Vakarcs, Christine Nelson, Andrew Bazemore, Mark Carrozza, Jennifer E. DeVoe
The Journal of the American Board of Family Medicine Nov 2014, 27 (6) 804-810; DOI: 10.3122/jabfm.2014.06.140029
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