TY - JOUR
T1 - Patient-Centered Medical Home Recognition and Clinical Performance in U.S. Community Health Centers
AU - Shi, Leiyu
AU - Lee, De Chih
AU - Chung, Michelle
AU - Liang, Hailun
AU - Lock, Diana
AU - Sripipatana, Alek
N1 - Funding Information:
Joint Acknowledgment/Disclosure Statement: The study was sponsored by the U.S. Department of Health and Human Services, Health Resources and Services Administration, and Johns Hopkins Primary Care Policy Center. The authors have no additional financial disclosures or conflicts of interest. Disclosures: None. Disclaimers: None.
Publisher Copyright:
© Health Research and Educational Trust
PY - 2017/6
Y1 - 2017/6
N2 - Introduction: America's community health centers (HCs) are uniquely poised to implement the patient-centered medical home (PCMH) model, as they are effective in providing comprehensive, accessible, and continuous primary care. This study aims to evaluate the relationship between PCMH recognition in HCs and clinical performance. Methods: Data for this study came from the 2012 Uniform Data System (UDS) as well as a survey of HCs' PCMH recognition achievement. The dependent variables included all 16 measures of clinical performance collected through UDS. Control measures included HC patient, provider, and practice characteristics. Bivariate analyses and multiple logistic regressions were conducted to compare clinical performance between HCs with and without PCMH recognition. Findings: Health centers that receive PCMH recognition generally performed better on clinical measures than HCs without PCMH recognition. After controlling for HC patient, provider, and practice characteristics, HCs with PCMH recognition reported significantly better performance on asthma-related pharmacologic therapy, diabetes control, pap testing, prenatal care, and tobacco cessation intervention. Conclusion: This study establishes a positive association between PCMH recognition and clinical performance in HCs. If borne out in future longitudinal studies, policy makers and practices should advance the PCMH model as a strategy to further enhance the quality of primary care.
AB - Introduction: America's community health centers (HCs) are uniquely poised to implement the patient-centered medical home (PCMH) model, as they are effective in providing comprehensive, accessible, and continuous primary care. This study aims to evaluate the relationship between PCMH recognition in HCs and clinical performance. Methods: Data for this study came from the 2012 Uniform Data System (UDS) as well as a survey of HCs' PCMH recognition achievement. The dependent variables included all 16 measures of clinical performance collected through UDS. Control measures included HC patient, provider, and practice characteristics. Bivariate analyses and multiple logistic regressions were conducted to compare clinical performance between HCs with and without PCMH recognition. Findings: Health centers that receive PCMH recognition generally performed better on clinical measures than HCs without PCMH recognition. After controlling for HC patient, provider, and practice characteristics, HCs with PCMH recognition reported significantly better performance on asthma-related pharmacologic therapy, diabetes control, pap testing, prenatal care, and tobacco cessation intervention. Conclusion: This study establishes a positive association between PCMH recognition and clinical performance in HCs. If borne out in future longitudinal studies, policy makers and practices should advance the PCMH model as a strategy to further enhance the quality of primary care.
KW - Patient-centered medical home
KW - clinical performance
KW - community health centers
KW - quality of care
KW - vulnerable population
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U2 - 10.1111/1475-6773.12523
DO - 10.1111/1475-6773.12523
M3 - Article
C2 - 27324440
AN - SCOPUS:84978374727
VL - 52
SP - 984
EP - 1004
JO - Health Services Research
JF - Health Services Research
SN - 0017-9124
IS - 3
ER -