HOPE VI Relocations and Spatial Access to Safety Net Primary Care in Atlanta, GA Público
Wodarski, Stephanie Joyce (2011)
Published
Abstract
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
By
Stephanie Wodarski
B.S.
University of North Carolina at Charlotte
2007
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
2011
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