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Introduction: Low income individuals are faced with numerous barriers to health care that can lead to worse health outcomes. Limited access to transportation, in particular, has been linked to lower rates of doctor’s visits and consequently, a greater burden of disease. Community agencies such as Safe Harbor (SH), the Community Health Center (CHC), and the Committee on Temporary Shelter (COTS) in Burlington, Vermont reported the move of many ambulatory care practices from Fletcher Allen Hospital, located on a citywide bus route, to Tilley Drive, which was not located on a bus route, as a significant barrier for their patients.


Annika Hawkins, FNP, MPH, Safe Harbor Clinic

Mary Anne Kohn, Committee on Temporary Shelter

Jill Jemison, University of Vermont College of Medicine


Committee on Temporary Shelter


Access to Health Services, Mental Health and Mental Disorders, Public Health Infrastructure


Presented at the American Public Health Association (APHA) Annual Meeting and Expo, Philadelphia, PA; November 9, 2009 as "Suburban Satellite Health Care Facilities Limit Access for Low-Income Patients," by Angus Beal, Hannah Caulfield, Ellizabeth Cipolla, Theodore Elaesser, Andrew Gagnon, Megan Gossling, Yangseon Park, Annika Hawkins, Jill Jemison and Jan K. Carney, MD MPH.

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

Suburban Satellite Health Care Facilities Limit Access for Low-Income Patients