OPINION: Address community needs before closing hospitals
The need to reduce healthcare costs and insure the uninsured has led to a most important and massive undertaking of healthcare reform, the Affordable Care Act. However, for years, and with little public notice, another means of reducing healthcare costs has had devastating impacts on communities of color and those that are low-income.
To reduce costs, many safety-net hospitals are being completely closed, merged with other hospitals, or facing a reduction in beds. Safety-net hospitals fulfill otherwise unmet healthcare needs in a community, where under-served populations simply go without care. Often, these drastic changes to care delivery take place without consideration for the health and safety needs of the impacted neighborhoods. Their challenges accessing quality healthcare will only be exacerbated unless hospitals and policymakers listen to these communities and put their needs first.
To better understand the neighborhoods that face the brunt of these closures and restructures, just look at North and Central Brooklyn. Many residents live in impoverished, highly segregated neighborhoods, and are uninsured or rely on public insurance. They lack access to quality medical treatment and often face long waits, travel farther for care, and go to emergency rooms for non-emergencies because less costly treatment facilities are not available.
Providers serving these vulnerable populations often face financial challenges since they don’t have adequate resources to address all of their needs. These populations simply cannot afford to get sick, and the long-term result is that people are living sicker and dying younger.
Unfortunately, the radical restructuring of care has occurred without an adequate understanding of such communities’ needs. Nonetheless, policy makers and hospitals can begin to address the disappearance of safety-net hospitals by listening to communities directly and gathering critical data about barriers and gaps in care from the perspectives of those who utilize it.