@article{91a0c9de895b45168a2fc269d3a95861,
title = "Prevalence of pre-existing conditions among community health center patients with COVID-19: Implications for the patient protection and affordable care act",
abstract = "Background: Short- and long-term effects of COVID-19 will likely be designated pre-existing conditions. We describe the prevalence of pre-existing conditions among community health center patients overall and those with COVID-19 by race/ethnicity. Materials and Methods: This cross-sectional study used electronic health record data from OCHIN, a network of 396 community health centers across 14 states. Results: Among all patients with COVID-19, 33% did not have a pre-existing condition before the pandemic. Up to half of COVID-19-positive non-Hispanic Asians (51%), Hispanic (36%), and non-Hispanic black (28%) patients did not have a pre-existing condition before the pandemic. Conclusions: The future of the Patient Protection and Affordable Care Act is uncertain, and the long-term health effects of COVID-19 are largely unknown; therefore, ensuring people with pre-existing conditions can acquire health insurance is essential to achieving health equity.",
keywords = "Affordable care act, COVID-19, Chronic disease, Community health centers, Cross-sectional studies, Ethnic groups, Health equity, Health policy, Pandemics, Pre-existing condition",
author = "Nathalie Huguet and Teresa Schmidt and Annie Larson and Jean O{\textquoteright}Malley and Megan Hoopes and Heather Angier and Miguel Marino and Jennifer DeVoe",
note = "Funding Information: This work was conducted with the Accelerating Data Value Across a National Community Health Center Network (ADVANCE) Clinical Research Network (CRN). OCHIN leads the ADVANCE network in partnership with Health Choice Network, Fenway Health, and Oregon Health & Science University. ADVANCE is funded through the Patient-Centered Outcomes Research Institute (PCORI), contract number RI-CRN-2020-001. Funding Information: Funding: This work was supported by the National Cancer Institute (NCI) under award P50CA244289. This program was launched by NCI as part of the Cancer Moonshot. This work was also supported by the Agency for Healthcare Research and Quality, grant R01HS025962, by NCI grant R01CA204267, and by the National Heart, Lung, and Blood Institute grant R01HL136575. The views presented in this article are solely the responsibility of the authors and do not necessarily represent the views of the funding agencies. Publisher Copyright: {\textcopyright} 2021 American Board of Family Medicine. All rights reserved.",
year = "2021",
month = feb,
doi = "10.3122/JABFM.2021.S1.200571",
language = "English (US)",
volume = "34",
pages = "S247--S249",
journal = "Journal of the American Board of Family Medicine",
issn = "1557-2625",
publisher = "American Board of Family Medicine",
}