ArticleAmerican journal of preventive medicine2012
Federally qualified health centers and private practice performance on ambulatory care measures.
Article in American journal of preventive medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
59 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Receipt of Preventive Services After Oregon's Randomized Medicaid Experiment.American journal of preventive medicine · 2016Trial
- Undiagnosed and uncontrolled hypertension at a federally qualified health center.Journal of human hypertension · 2026Article
- Data Resources for Conducting Patient-Centered Outcomes Research at Federally Qualified Health Centers: The National Ambulatory Medical Care Survey.Medical care · 2026Article
- Navigating Access to Medications for Diabetes Mellitus in the Era of 340B Drug Pricing Program Restrictions: A Bilingual Qualitative Study of Patients' Perspectives.Journal of general internal medicine · 2026Article
- Turf Wars: How Growth and Competitive Shocks Have Affected the Performance and Stability of Community Health Centers.The Milbank quarterly · 2025Article
- Integrating eye care into Community Health Centers: a framework for advancing vision equity in underserved communities.Frontiers in health services · 2025Article
- Federally Qualified Health Centers and Performance of Medicare Accountable Care Organizations.JAMA network open · 2024Article
- Utilization, quality, and spending for pediatric Medicaid enrollees with primary care in health centers vs non-health centers.BMC pediatrics · 2024Article
- Differences in Provider Hepatitis C Virus Screening Recommendations by Patient Risk Status.Preventive medicine reports · 2024Article
- Impact of 2009 American Recovery and Reinvestment Act (ARRA) health center investments on disadvantaged neighborhoods after recession.Health economics review · 2024Article
- Advancing Virtual at-Home Care for Community Health Center Patients Using Patient Self-Care Tools, Technology, and Education.Journal of multidisciplinary healthcare · 2024Article
- Associations Between Sexual History Documentation in Electronic Health Records and Referral to Pre-Exposure Prophylaxis Navigator on Prescription of Pre-Exposure Prophylaxis at a Multi-Site Federally Qualified Health Center.AIDS patient care and STDs · 2023Article
- Evaluating the accessibility and value of U.S. ambulatory care among Medicaid expansion states and non-expansion states, 2012-2015.BMC health services research · 2023Article
- Data sharing in the context of community-engaged research partnerships.Social science & medicine (1982) · 2023Article
- Evaluating a Telephone and Home Blood Pressure Monitoring Intervention to Improve Blood Pressure Control and Self-Care Behaviors in Adults with Low-Socioeconomic Status.International journal of environmental research and public health · 2023Article
- Embedding community-engaged research principles in implementation science: The implementation science center for cancer control equity.Journal of clinical and translational science · 2023Article
- Patient and Staff Satisfaction and Experience While Transforming Health Center Systems.Risk management and healthcare policy · 2022Article
- FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality.Journal of general internal medicine · 2021Article
- Are There Performance Advantages Favoring Federally Qualified Health Centers in Medical Home Care for Persons with Severe Mental Illness?Administration and policy in mental health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe 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. PURPOSE: To compare FQHC and look-alike physician performance with private practice primary care physicians (PCPs) on ambulatory care quality measures.
methodsThe 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.
resultsCompared to private practice PCPs, FQHCs and look-alikes performed better on six measures (p<0.05); worse on diet counseling in at-risk adolescents (26% vs 36%, p=0.05); and no differently on 11 measures. Higher performance occurred in ACE inhibitors use for congestive heart failure (51% vs 37%, p=0.004); aspirin use in coronary artery disease (CAD; 57% vs 44%, p=0.004); β-blocker use for CAD (59% vs 47%, p=0.01); no use of benzodiazepines in depression (91% vs 84%, p=0.008); blood pressure screening (90% vs 86%, p<0.001); and screening electrocardiogram (EKG) avoidance in low-risk patients (99% vs 93%, p<0.001). Adjusting for patient characteristics yielded similar results, except that private practice PCPs no longer performed better on any measures.
conclusionsFQHCs 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.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.