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How We Know Which Areas Need Health Center Services

Health centers provide care to patients in a service area. We approve the service area when reviewing a health center’s application for funds. We use the Service Area Needs Assessment Methodology (SANAM) to calculate an Unmet Need Score (UNS) for every ZIP Code. Higher scores typically indicate a greater need for health center services.

What services people still need

Health centers provide many different services. We use the Uniform Data System (UDS) to count how many patients receive each service.  

How we use this data

To understand the level of unmet need, we developed national benchmarks. These help us understand where patients still need help.  

We reviewed literature and data analyses from these sources:

Service category Estimate of health center patients who could use this service Health center patients currently using this service Estimated percent of health center patients’ need being met
Mental Health 10.3 million 2.8 million 27%
Substance Use Disorder 5.3 million 294,000 6%
Oral Health 18.5 million 6.4 million 35%
Vision 11.6 million 921,000 8%
Enabling 8.4 million 2.8 million  33%

Note: The percentage for the 31.2 million health center patients who could use the specific service are: 33% for mental health services, 17% for substance use disorder services, 59% for oral health services, 37% for vision services, and 27% for enabling (interpretationing and translating) services.

How you can reach us

  • Use the BPHC Contact Form.
    Under Health Center Program, select Health Center Program (for example, Unmet Need Score, Health Center Performance Improvement Framework).
  • Call 877-464-4772 (select option 1), 8 a.m. – 8 p.m. ET, Monday – Friday (except federal holidays)
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