The Neighborhood Health Hub Model: Extending Primary Care into Medically Underserved Neighborhoods to Improve Health Equity - Report - MDSpire
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The Community Health Center Approach: Enhancing Primary Care Access in Underserved Areas to Foster Health Equity

  • By

  • James E. Bailey

  • Deborah O. Ogunsanmi

  • Sultan Mahmud

  • Umar Y. Kabir

  • Alexandria M. Boykins

  • Susan W. Butterworth

  • Asos Mahmood

  • Burton L. Hayes

  • Esra Ozdenerol

  • F. Maury Ballenger

  • Satya Surbhi

  • September 8, 2026

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Clinical Report: The Community Health Center Approach to Health Equity

Overview

The Neighborhood Health Hub (NHH) Model aims to enhance access to primary care in medically underserved areas (MUAs) by utilizing community health workers (CHWs) and health coaches. This approach addresses social determinants of health and promotes chronic disease self-management, particularly for obesity, hypertension, and diabetes, as indicated by the source material.

Background

Access to essential preventive services is critically limited in MUAs, leading to increased emergency department visits and complications from chronic conditions. Health coaches and CHWs have shown promise in improving health outcomes, yet their systematic use in delivering preventive care remains underexplored, as noted in the source material. The NHH Model seeks to bridge this gap by providing community-based health services tailored to the needs of underserved populations.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • The NHH Model provides convenient access to preventive services in MUAs through neighborhood health hubs.
  • Health coaches trained in motivational interviewing can effectively promote behavioral change and chronic disease self-management.
  • Existing health and wellness models often lack accessibility for residents of MUAs.
  • Community-based health coaching has been linked to improved health behaviors and reduced healthcare utilization.
  • Social barriers such as transportation and childcare significantly impact participation in preventive health services.

Clinical Implications

The implementation of the NHH Model highlights the importance of integrating community health workers into primary care frameworks to enhance service delivery in underserved areas, as supported by the source material.

Conclusion

The NHH Model emphasizes the role of community engagement and health coaching in fostering health equity, based on the findings presented in the source material.

Related Resources & Content

  1. United States Department of Health and Human Services, HHS Unveils Major Funding Initiative to Enhance Health Center Program, Increasing Primary Care Access for Nearly 1 Million Americans
  2. BMJ Paediatrics Open, Addressing equity through integration of child health services in North West London disadvantaged neighbourhoods: a mixed-methods evaluation
  3. Annals of Family Medicine, Continuity of Primary Care in Community Health Centers
  4. JAMA Internal Medicine, Structured Telehealth Community Health Worker–Clinician Feedback and Diabetes Outcomes: A Randomized Clinical Trial
  5. JAMA Internal Medicine — Mailed Outreach for Colorectal Cancer Screening in Community Health Centers: The CARES Pragmatic Cluster
  6. UDS Reporting Office Hour Tomorrow, New Health Center Data
  7. Introduction and Methodology: Standards of Care in Diabetes—2026
  8. Structured Telehealth Community Health Worker–Clinician Feedback and Diabetes Outcomes: A Randomized Clinical Trial | Trials | JAMA Internal Medicine | JAMA Network

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