domingo, 11 de noviembre de 2012

Federally qualified health centers and private... [Am J Prev Med. 2012] - PubMed - NCBI

Federally qualified health centers and private... [Am J Prev Med. 2012] - PubMed - NCBI

Am J Prev Med. 2012 Aug;43(2):142-9.

Federally qualified health centers and private practice performance on ambulatory care measures.


Department of Medicine, University of California San Francisco, 94110, USA.



The 2010 Affordable Care Act relies on Federally Qualified Health Centers (FQHCs) and FQHC look-alikes (look-alikes) to provide care for newly insured patients, but ties increased funding to demonstrated quality and efficiency.


To compare FQHC and look-alike physician performance with private practice primary care physicians (PCPs) on ambulatory care quality measures.


The study was a cross-sectional analysis of visits in the 2006-2008 National Ambulatory Medical Care Survey. Performance of FQHCs and look-alikes on 18 quality measures was compared with private practice PCPs. Data analysis was completed in 2011.


Compared to private practice PCPs, FQHCs and look-alikes performed better on six measures (p<0 .05=".05" 11="11" 36="36" 37="37" 44="44" 47="47" 57="57" 84="84" 86="86" 93="93" ace="ace" adjusting="adjusting" adolescents="adolescents" and="and" any="any" artery="artery" aspirin="aspirin" at-risk="at-risk" avoidance="avoidance" benzodiazepines="benzodiazepines" better="better" blocker="blocker" blood="blood" cad="cad" characteristics="characteristics" congestive="congestive" coronary="coronary" counseling="counseling" depression="depression" diet="diet" differently="differently" disease="disease" electrocardiogram="electrocardiogram" except="except" failure="failure" for="for" heart="heart" higher="higher" in="in" inhibitors="inhibitors" longer="longer" low-risk="low-risk" measures.="measures." no="no" occurred="occurred" of="of" on="on" p="p" patient="patient" patients="patients" pcps="pcps" performance="performance" performed="performed" practice="practice" pressure="pressure" private="private" results="results" screening="screening" similar="similar" that="that" use="use" vs="vs" worse="worse" yielded="yielded">


FQHCs and look-alikes demonstrated equal or better performance than private practice PCPs on select quality measures despite serving patients who have more chronic disease and socioeconomic complexity. These findings can provide policymakers with some reassurance as to the quality of chronic disease and preventive care at Federally Qualified Health Centers and look-alikes, as they plan to use these health centers to serve 20 million newly insured individuals.
Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
[PubMed - in process]

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