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Medical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics.

TitleMedical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics.
Publication TypeJournal Article
Year of Publication2017
AuthorsGunter KE, Nocon RS, Gao Y, Casalino LP, Chin MH
JournalJ Community Health
Volume42
Issue2
Pagination303-311
Date Published2017 Apr
ISSN1573-3610
KeywordsAdolescent, Adult, Aged, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Patient-Centered Care, Quality Indicators, Health Care, Quality of Health Care, Safety-net Providers, United States, Young Adult
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.

DOI10.1007/s10900-016-0256-9
Alternate JournalJ Community Health
PubMed ID27659297
PubMed Central IDPMC5337437
Grant ListK24 DK071933 / DK / NIDDK NIH HHS / United States
P30 DK092949 / DK / NIDDK NIH HHS / United States
T32 HS000084 / HS / AHRQ HHS / United States
Category: 
Faculty Publication