HOPE VI Relocations and Spatial Access to Safety Net Primary Care in Atlanta, GA Open Access

Wodarski, Stephanie Joyce (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/6395w721q?locale=en


HOPE VI Relocations and Spatial Access to Safety Net Primary Care in Atlanta, GA
By Stephanie Wodarski
The goal of HOPE VI is to relocate residents of severely distressed public housing
facilities to less impoverished, safer areas of the city. The HOPE VI initiative's
objectives include improving living conditions by demolishing or rehabilitating severely
distressed public housing units, rehabilitating the neighborhoods surrounding public
housing sites, creating or locating housing that has lower poverty rates and building
communities that will be sustainable over time (Popkin et al. 2004).
Impoverished individuals who live in economically underprivileged communities,
like public housing, often have limited or decreased access to healthcare (Anderson, Yu,
Wyn, et al., 2002). The purpose of this research is to determine if participants of the
Emory HOPE VI project have increased or decreased access to safety net primary care
(providers that deliver a considerable amount of their services to populations that are
uninsured, on Medicaid, or otherwise vulnerable) after they relocate from public housing
into various areas of Atlanta.
Using Gravity Based Modeling, the potential access of 170 HOPE VI participants in
the Atlanta area was measured pre- and post-relocation. Overall there was an overall
decrease of 54% in potential access to safety net primary care after residents relocated
from Atlanta Housing Authority public housing.
Some safety net primary care facilities are only able to locate clinics in areas that
have met specific criteria that demonstrate the neighborhoods' need for that type of care.
When residents relocate to less impoverished areas they are less likely to have access to
safety net primary care.

HOPE VI Relocations and Spatial Access to Safety Net Primary Care in Atlanta, GA
Stephanie Wodarski
University of North Carolina at Charlotte
Thesis Committee Chair: Dr. Hannah Cooper, ScD
A thesis submitted to the Faculty of the
Rollins School of Public Health of Emory University
in partial fulfillment of the requirements for the degree of
Master of Public Health
in Behavioral Sciences

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