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

doi:10.1007/s10900-016-0256-9

. 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

Kathryn E Gunter¹, Robert S Nocon², Yue Gao³, Lawrence P Casalino⁴, Marshall H Chin³

Affiliations

¹ Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL, 60637, USA. kgunter@medicine.bsd.uchicago.edu.
² Department of Public Health Sciences and Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL, 60637, USA.
³ Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL, 60637, USA.
⁴ Department of Healthcare Policy and Research, Weill Cornell Medical College, 402 E. 67th Street, New York, NY, 10065-6304, USA.

PMID: 27659297
PMCID: PMC5337437
DOI: 10.1007/s10900-016-0256-9

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

Kathryn E Gunter et al. J Community Health. 2017 Apr.

. 2017 Apr;42(2):303-311.

doi: 10.1007/s10900-016-0256-9.

Authors

Kathryn E Gunter¹, Robert S Nocon², Yue Gao³, Lawrence P Casalino⁴, Marshall H Chin³

Affiliations

¹ Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL, 60637, USA. kgunter@medicine.bsd.uchicago.edu.
² Department of Public Health Sciences and Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL, 60637, USA.
³ Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL, 60637, USA.
⁴ Department of Healthcare Policy and Research, Weill Cornell Medical College, 402 E. 67th Street, New York, NY, 10065-6304, USA.

PMID: 27659297
PMCID: PMC5337437
DOI: 10.1007/s10900-016-0256-9

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.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest:

The authors declare that they do not have a conflict of interest.

Cited by

Patient-Centered Medical Home Activities Associated With Low Medicare Spending and Utilization.
Burton RA, Zuckerman S, Haber SG, Keyes V. Burton RA, et al. Ann Fam Med. 2020 Nov;18(6):503-510. doi: 10.1370/afm.2589. Ann Fam Med. 2020. PMID: 33168678 Free PMC article.
The Partnership to Improve Diabetes Education Trial: a Cluster Randomized Trial Addressing Health Communication in Diabetes Care.
White RO, Chakkalakal RJ, Wallston KA, Wolff K, Gregory B, Davis D, Schlundt D, Trochez KM, Barto S, Harris LA, Bian A, Schildcrout JS, Kripalani S, Rothman RL. White RO, et al. J Gen Intern Med. 2020 Apr;35(4):1052-1059. doi: 10.1007/s11606-019-05617-z. Epub 2020 Jan 9. J Gen Intern Med. 2020. PMID: 31919724 Free PMC article. Clinical Trial.
Development and Validation of a Short-Form Safety Net Medical Home Scale.
Nocon RS, Gunter KE, Gao Y, Lee SM, Chin MH. Nocon RS, et al. Health Serv Res. 2018 Aug;53 Suppl 1(Suppl Suppl 1):3207-3226. doi: 10.1111/1475-6773.12809. Epub 2017 Dec 1. Health Serv Res. 2018. PMID: 29194594 Free PMC article.
Impacts of Initial Transformation to a Patient-Centered Medical Home on Diabetes Outcomes in Federally Qualified Health Centers in Florida.
Kinsell HS, Hall AG, Harman JS, Tewary S, Brickman A. Kinsell HS, et al. J Prim Care Community Health. 2017 Oct;8(4):192-197. doi: 10.1177/2150131917742300. Epub 2017 Nov 21. J Prim Care Community Health. 2017. PMID: 29161972 Free PMC article.

References

1. Adashi EY, Geiger HJ, Fine MD. Health care reform and primary care—the growing importance of the community health center. New England Journal of Medicine. 2010;362(22):2047–2050. - PubMed
1. Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Rockville, MD: Agency for Healthcare Research and Quality; 2012. 2012 National health care quality report. AHRQ Publication NO. 13-0002. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/2012nhqr.pdf.
1. Alexander JA, Bae D. Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes. Health Services Management Research. 2012;25(2):51–59. - PubMed
1. Ali MK, Bullard KM, Saaddine JB, Cowie CC, Imperatore G, Gregg EW. Achievement of goals in US diabetes care, 1999–2010. New England Journal of Medicine. 2013;368(17):1613–1624. - PubMed
1. Birnberg JM, Drum ML, Huang ES, Casalino LP, Lewis SE, Vable AM, Chin MH. Development of a safety net medical home scale for clinics. Journal of General Internal Medicine. 2011;26(12):1418–1425. - PMC - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

[1] Adashi EY, Geiger HJ, Fine MD. Health care reform and primary care—the growing importance of the community health center. New England Journal of Medicine. 2010;362(22):2047–2050. - PubMed

[2] Adashi EY, Geiger HJ, Fine MD. Health care reform and primary care—the growing importance of the community health center. New England Journal of Medicine. 2010;362(22):2047–2050. - PubMed

[3] Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Rockville, MD: Agency for Healthcare Research and Quality; 2012. 2012 National health care quality report. AHRQ Publication NO. 13-0002. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/2012nhqr.pdf.

[4] Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Rockville, MD: Agency for Healthcare Research and Quality; 2012. 2012 National health care quality report. AHRQ Publication NO. 13-0002. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/2012nhqr.pdf.

[5] Alexander JA, Bae D. Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes. Health Services Management Research. 2012;25(2):51–59. - PubMed

[6] Alexander JA, Bae D. Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes. Health Services Management Research. 2012;25(2):51–59. - PubMed

[7] Ali MK, Bullard KM, Saaddine JB, Cowie CC, Imperatore G, Gregg EW. Achievement of goals in US diabetes care, 1999–2010. New England Journal of Medicine. 2013;368(17):1613–1624. - PubMed

[8] Ali MK, Bullard KM, Saaddine JB, Cowie CC, Imperatore G, Gregg EW. Achievement of goals in US diabetes care, 1999–2010. New England Journal of Medicine. 2013;368(17):1613–1624. - PubMed

[9] Birnberg JM, Drum ML, Huang ES, Casalino LP, Lewis SE, Vable AM, Chin MH. Development of a safety net medical home scale for clinics. Journal of General Internal Medicine. 2011;26(12):1418–1425. - PMC - PubMed

[10] Birnberg JM, Drum ML, Huang ES, Casalino LP, Lewis SE, Vable AM, Chin MH. Development of a safety net medical home scale for clinics. Journal of General Internal Medicine. 2011;26(12):1418–1425. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical