US primary care delivery after the health center growth initiative: Comparison of health centers, hospital outpatient departments, and physicians' offices

Leiyu Shi, Lydie A. Lebrun, Li Mei Hung, Jinsheng Zhu, Jenna Tsai

Research output: Contribution to journalArticlepeer-review

Abstract

We compared patient management during primary care visits in 3 settings (health centers, hospital outpatient departments, and physicians' offices) and investigated racial/ethnic and insurance-based disparities in the wake of the recent health center program expansion. Within health centers, there were few differences in patient management across racial/ethnic or insurance groups. In contrast, the other settings displayed more racial/ethnic and insurance disparities in patient management during visits. Health centers performed processes of care with comparable or higher occurrence, relative to physicians' offices. Health care disparities were also attenuated in health centers, compared with other primary care settings.

Original languageEnglish (US)
Pages (from-to)60-74
Number of pages15
JournalJournal of Ambulatory Care Management
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • disparities
  • organization and delivery of care
  • primary care
  • safety-net systems

ASJC Scopus subject areas

  • Health Policy

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