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This summary of the 2008 findings from a planned five-year evaluation (2006–2011) of the Montgomery Cares initiative, a Montgomery County, Maryland-funded program designed to provide basic health care to low-income, adult, uninsured county residents through financial support to community clinics, is based on data from the electronic medical records of Montgomery Cares patients, a patient survey, surveys of capacity and appointment availability at Montgomery Cares clinics, and stakeholder interviews. The evaluation results highlight a range of noteworthy positive developments related to Montgomery Cares, including an increase in the capital and human resource capacity at Montgomery Cares clinics, an expansion in the number of uninsured served and in the level and types of service provided, an increase in preventive care, and increased patient satisfaction. However, challenges remain, including increasing the availability of appointments, access to prescription drugs, and the availability of specialty care.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Characteristics of Montgomery Cares Patients

  • Chapter Three

    Infrastructure and Capacity of Montgomery Cares Clinics

  • Chapter Four

    Accessibility and Use of Health Care for Montgomery Cares Patients

  • Chapter Five

    Quality of Care and Satisfaction with Care

  • Chapter Six

    Key Findings and Recommendations

  • Appendix A

    Data Sources

  • Appendix B

    Socio-Demographic Characteristics and Health Insurance Coverage of Montgomery County Residents

  • Appendix C

    Ambulatory-Care Sensitive Inpatient and Emergency Department Discharges Among Montgomery County Residents

  • Appendix D

    Background on Organization and Financing of Montgomery Cares Clinics

  • Appendix E

    Community Pharmacy Formulary

This evaluation was sponsored the Primary Care Coalition (PCC) of Montgomery County, Maryland, with funding from the Montgomery County government and conducted in RAND Health, a division of the RAND Corporation.

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