• J Am Board Fam Med · Feb 2021

    Multicenter Study

    Prevalence of Pre-existing Conditions Among Community Health Center Patients With COVID-19: Implications for the Patient Protection and Affordable Care Act.

    • Nathalie Huguet, Teresa Schmidt, Annie Larson, Jean O'Malley, Megan Hoopes, Heather Angier, Miguel Marino, and Jennifer DeVoe.
    • From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (NH, HA, MM, JD); Research Department, Ochin Inc, Portland, Oregon (TS, AL, JO, MH). huguetn@ohsu.edu.
    • J Am Board Fam Med. 2021 Feb 1; 34 (Suppl): S247-S249.

    BackgroundShort- 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 MethodsThis cross-sectional study used electronic health record data from OCHIN, a network of 396 community health centers across 14 states.ResultsAmong 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.ConclusionsThe 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.© Copyright 2021 by the American Board of Family Medicine.

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