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

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

J Community Health. 2017 Apr;42(2):303-311. doi: 10.1007/s10900-016-0256-9.

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

Gunter KE1, Nocon RS2, Gao Y3, Casalino LP4, Chin MH3.

Author information

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.

KEYWORDS:

Diabetes; Patient-centered medical home; Primary care; Quality; Safety net

PMID:

 

27659297

 

PMCID:

 

PMC5337437

 

DOI:

 

10.1007/s10900-016-0256-9

[Indexed for MEDLINE] 

Free PMC Article