Preventive counseling services during primary care visits: A comparison of health centers versus other physician offices

Leiyu Shi, Lydie A. Lebrun-Harris, Li Ru Chen, Sarika Rane Parasuraman, Jinsheng Zhu, Quyen Ngo-Metzger, Alek Sripipatana

Research output: Contribution to journalArticlepeer-review

Abstract

We compared preventive counseling services provided by health centers versus other physician offices. Cross-sectional data came from the 2008 National Ambulatory Medical Care Survey, including 25,177 patient visits in physician offices and 3,345 patient visits in health centers. Despite serving disproportionately more vulnerable patients, health centers provided comparable rates of preventive counseling services, compared with other physician offices: health education (39% vs. 36%), disease management (34% vs. 41%), asthma education (21% vs. 13%), tobacco education (19% for both), and weight reduction education (6% vs. 9%) (p>.05 for all). Adjusted analyses showed no association between health care setting and preventive counseling.

Original languageEnglish (US)
Pages (from-to)519-535
Number of pages17
JournalJournal of health care for the poor and underserved
Volume26
Issue number2
DOIs
StatePublished - Jan 1 2015

Keywords

  • Disparities
  • Health centers
  • Preventive care
  • Safety-net providers

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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