Patient-centered Medical Home Capability and Clinical Performance in HRSA-supported Health Centers
Bibliographic Data
| ID | 9102654 |
|---|---|
| Authors | Leiyu Shi (0000-0001-9227-0849, Johns Hopkins University, corresponding author), Diana C Lock, Diana Lock (Johns Hopkins University, corresponding author), De-Chih Lee (Dayeh University), Lydie A Lebrun‐Harri (0000-0001-6117-1012, Health Resources and Services Administration), Lydie A Lebrun-Harris, Mong-Hwa Chin (0000-0003-1924-5641, University of Chicago), Marshall H Chin, Preeta Chidambaran (0000-0003-4674-8770, Health Resources and Services Administration), Robert S Nocon (University of Chicago), Jinsheng Zhu (0000-0003-0586-1291, Johns Hopkins University, corresponding author), Alek Sripipatana (0000-0002-3078-0111, Health Resources and Services Administration) |
| Year | 2015 |
| Volume | 53 |
| Issue | 5 |
| Pages | 389-395 |
| Publication date | 2015-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000331 |
| PMID | 25793267 |
| PMCID | PMC4530496 |
| OpenAlex | W2320322233 |
| Language | EN |
| Citations received | 5 |
| References cited | 6 |
OBJECTIVES: To evaluate the relationship between Patient-centered Medical Home (PCMH) model adoption in health centers (HCs) and clinical performance measures and to determine if adoption of PCMH characteristics is associated with better clinical performance. RESEARCH DESIGN: Data came from the Health Resources and Services Administration's 2009 Uniform Data System and the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers. Clinical performance measures included 2 process measures (childhood immunization and cervical cancer screening) and 2 outcome measures (hypertension control and diabetes control). Total and subscale PCMH scores were regressed on the clinical performance measures, adjusting for patient, provider, financial, and institutional characteristics. RESULTS: The findings showed different directional relationships, with some PCMH domains (care management, test/referral tracking, quality improvement, and external coordination) showing little or no effect on outcome measures of interest, 1 domain (access/communication) associated with improved outcomes, and 1 domain (patient tracking/registry) associated with worse outcomes. CONCLUSIONS: This study is among the first to examine the association between PCMH transformation and clinical performance in HCs, providing an understanding of the impact of PCMH adoption within safety-net settings. The mixed results highlight the importance of examining relationships between specific PCMH domains and specific clinical quality measures, in addition to analyzing overall PCMH scores which could yield distorted findings
Family medicine · Health care · Medical home · Medical record · Primary care · Quality management · Referral · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Telemedicine and Telehealth Implementation
Estimating Associations Between Medical Home Adoption, Utilization, and Quality
The Association of Patient-centered Medical Home Designation With Quality of Care of HRSA-funded Health Centers
The (Missed) Potential of the Patient-centered Medical Home for Disparities
Home is Where the Patient is
An Innovative Three-Step Method for Identifying Exemplars
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,45 |
| Citation span | 2015 - 2019 (5) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |