ArticleJournal of the American Board of Family Medicine : JABFM
Diabetes care quality is highly correlated with patient panel characteristics.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Receipt of Preventive Services After Oregon's Randomized Medicaid Experiment.American journal of preventive medicine · 2016Trial
- Practice context affects efforts to improve diabetes care for primary care patients: a pragmatic cluster randomized trial.Journal of general internal medicine · 2015Trial
- Diabetes And The Fragmented State Of US Health Care And Policy.Health affairs (Project Hope) · 2022Article
- The association between provider characteristics and post-catheterization interventions.PloS one · 2022Article
- Study protocol: a mixed-methods study of women's healthcare in the safety net after Affordable Care Act implementation - EVERYWOMAN.Health research policy and systems · 2019Article
- Racial/Ethnic Disparities in Health Insurance and Differences in Visit Type for a Population of Patients with Diabetes after Medicaid Expansion.Journal of health care for the poor and underserved · 2019Article
- Uninsured Primary Care Visit Disparities Under the Affordable Care Act.Annals of family medicine · 2017Observational
- Lack of Lipid Screening Disparities in Obese Latino Adults at Health Centers.American journal of preventive medicine · 2017Article
- A new role for primary care teams in the United States after "Obamacare:" Track and improve health insurance coverage rates.Family medicine and community health · 2016Article
- The Impact of the Affordable Care Act (ACA) Medicaid Expansion on Visit Rates for Diabetes in Safety Net Health Centers.Journal of the American Board of Family Medicine : JABFMArticle
- Using geographic information systems (GIS) to identify communities in need of health insurance outreach: An OCHIN practice-based research network (PBRN) report.Journal of the American Board of Family Medicine : JABFMArticle
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Authors and funding
6 authors.
Funding
Abstract
introductionHealth care reimbursement is increasingly based on quality. Little is known about how clinic-level patient characteristics affect quality, particularly in community health centers (CHCs).
methodsUsing data from electronic health records for 4019 diabetic patients from 23 primary care CHCs in the OCHIN practice-based research network, we calculated correlations between a clinic's patient panel characteristics and rates of delivery of diabetes preventive services in 2007. Using regression models, we estimated the proportion of variability in clinics' preventive services rates associated with the variability in the clinics' patient panel characteristics. We also explored whether clinics' performance rates were affected by how patient panel denominators were defined.
resultsClinic rates of hemoglobin testing, influenza immunizations, and lipid screening were positively associated with the percentage of patients with continuous health insurance coverage and negatively associated with the percentage of uninsured patients. Microalbumin screening rates were positively associated with the percentage of racial minorities in a clinic's panel. Associations remained consistent with different panel denominators.
conclusionsClinic variability in delivery rates of preventive services correlates with differences in clinics' patient panel characteristics, particularly the percentage of patients with continuous insurance coverage. Quality scores that do not account for these differences could create disincentives to clinics providing diabetes care for vulnerable patients.
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