Medical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics.
J Community Health
; 42(2): 303-311, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-27659297
ABSTRACT
We examined associations between patient-centered medical home (PCMH) characteristics and quality of diabetes care in 15 safety net clinics in five states. Surveys among clinic directors assessed PCMH characteristics using the Safety Net Medical Home Scale. Chart audits among 864 patients assessed diabetes process and outcome measures. We modeled the odds of the patient receiving performance measures as a function of total PCMH score and of PCMH subscales and covariates. PCMH characteristics had mixed, inconsistent associations with the quality of diabetes care. The PCMH model may require refinement in design and implementation to improve diabetes care among vulnerable populations.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
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Assistência Centrada no Paciente
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Diabetes Mellitus
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Provedores de Redes de Segurança
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Community Health
Ano de publicação:
2017
Tipo de documento:
Article