Comparative performance of community health centers and other usual sources of primary care

Deborah Gurewich, Karen R. Tyo, Junya Zhu, Donald S. Shepard

Research output: Contribution to journalArticle


OBJECTIVE: To determine how Community Health Centers (CHCs) perform relative to other primary care providers. RESEARCH DESIGN: A retrospective cohort study of Medicaid claims comparing provider groups on the basis of avoidable hospitalizations and costs. RESULTS: Avoidable hospitalization rates did not differ significantly across care settings. Hospital outpatient departments and CHCs had comparable total costs, whereas physicians had slightly but significantly lower total costs. CONCLUSIONS: Understanding determinants of care cost differences could inform future performance improvement initiatives. Care quality variance within provider groups may be more significant than care quality performance across care settings.

Original languageEnglish (US)
Pages (from-to)380-390
Number of pages11
JournalJournal of Ambulatory Care Management
Issue number4
StatePublished - Oct 1 2011



  • ambulatory care quality
  • care cost
  • community health centers

ASJC Scopus subject areas

  • Health Policy

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