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Patient‐Centered Medical Home Recognition and Clinical Performance in U.S. Community Health Centers
Author(s) -
Shi Leiyu,
Lee DeChih,
Chung Michelle,
Liang Hailun,
Lock Diana,
Sripipatana Alek
Publication year - 2017
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12523
Subject(s) - medical home , medicine , family medicine , intervention (counseling) , nurse practitioners , logistic regression , quality management , health care , primary care , nursing , management system , management , economics , economic growth
America's community health centers ( HC s) 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 HC s and clinical performance. Methods Data for this study came from the 2012 Uniform Data System ( UDS ) as well as a survey of HC s' 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 HC s with and without PCMH recognition. Findings Health centers that receive PCMH recognition generally performed better on clinical measures than HC s without PCMH recognition. After controlling for HC patient, provider, and practice characteristics, HC s 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 HC s. 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.