The Recovery of Community Health Centers in Puerto Rico and the US Virgin Islands One Year after Hurricanes Maria and Irma
| Appendix Table 1: Change in the number of patients who receive care at health centers since the hurricanes | |||
|
Percent of health centers where the number of patients since the hurricanes… |
All (N=21) |
Puerto Rico (N=19) |
US Virgin Islands (N=2) |
| Stayed about the same | 10% | 11% | 0% |
| Increased by less than 5% | 19% | 21% | 0% |
| Increased by 5-10% | 43% | 37% | 100% |
| Increased by more than 10% | 10% | 11% | 0% |
| Decreased by 5-10% | 14% | 16% | 0% |
| Decreased by more than 10% | 5% | 5% | 0% |
| Appendix Table 2: Status of health center operations a year after the hurricanes | |||
|
Percent of health centers where… |
All (N=21) |
Puerto Rico (N=19) |
US Virgin Islands (N=2) |
| Operations are mostly back to normal at all sites | 81% | 79% | 100% |
| Operations remain disrupted in minor ways at some or all sites | 14% | 16% | 0% |
| Operations remain disrupted in critical ways at some sites | 5% | 5% | 0% |
| Appendix Table 3: The three biggest challenges currently facing health centers | |||
|
Percentages reported for responses selected as a top three challenge |
All (N=21) |
Puerto Rico (N=19) |
US Virgin Islands (N=2) |
| Infrastructure issues | 43% | 42% | 50% |
| Ability to recruit staff | 19% | 21% | 0% |
| Ability to retain staff | 24% | 26% | 0% |
| Loss of patients | 29% | 26% | 50% |
| Increase in patients exceeding health center capacity | 14% | 16% | 0% |
| Loss of community providers/reduced capacity of health system overall | 14% | 5% | 100% |
| Increasing health needs of patients/community members | 48% | 47% | 50% |
| Insufficient insurance reimbursement | 38% | 42% | 0% |
| Insufficient grant funding | 5% | 5% | 0% |
| Impact of broader health system changes | 48% | 47% | 50% |
| Other challenge | 19% | 21% | 0% |