ArticleMedical care2015
Patient-centered Medical Home capability and clinical performance in HRSA-supported health centers.
Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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
18 citing papers in PubMed, 44 citations in OpenAlex.
- Interprofessional team-based primary care practice and preventive cancer screening: evidence from Family Health Teams in Ontario, Canada.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Early experience of the quality improvement award program in federally funded health centers.Health services research · 2022Article
- Patient-Centered Medical Home Activities Associated With Low Medicare Spending and Utilization.Annals of family medicine · 2020Article
- Association of Patient-Centered Medical Home designation and quality indicators within HRSA-funded community health center delivery sites.BMC health services research · 2020Article
- Differences in Rates of High-Value and Low-Value Care Between Community Health Centers and Private Practices.Journal of general internal medicine · 2020Article
- Article
- Use of Evidence-Based Interventions and Implementation Strategies to Increase Colorectal Cancer Screening in Federally Qualified Health Centers.Journal of community health · 2018Article
- Development and Validation of a Short-Form Safety Net Medical Home Scale.Health services research · 2018Article
- Meaningful use's benefits and burdens for US family physicians.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Impacts of Initial Transformation to a Patient-Centered Medical Home on Diabetes Outcomes in Federally Qualified Health Centers in Florida.Journal of primary care & community health · 2017Article
- Clinical Quality and the Patient-Centered Medical Home.JAMA internal medicine · 2017Observational
- Evaluating the Impact of Parent-Reported Medical Home Status on Children's Health Care Utilization, Expenditures, and Quality: A Difference-in-Differences Analysis with Causal Inference Methods.Health services research · 2017Article
- Medical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics.Journal of community health · 2017Article
- Sustained Improvement in Blood Pressure Control for a Multiracial Cohort: Results of a Patient-centered Medical Home Quality Improvement Initiative.Quality in primary care · 2017Article
- Medical home transformation and breast cancer screening.The American journal of managed care · 2016Article
- Inadequate Systems to Support Breast and Cervical Cancer Screening in Primary Care Practice.Journal of general internal medicine · 2016Article
- Characteristics Associated with Patient-Centered Medical Home Capability in Health Centers: A Cross-Sectional Analysis.Journal of general internal medicine · 2016Article
- Toward the Effective Co-management of Patients with Cirrhosis by Primary Care Providers and Specialists.Digestive diseases and sciences · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesTo evaluate the relationship between Patient-centered Medical Home (PCMH) model adoption in health centers (HCs) and clinical performance measures and to determine if adoption of PCMH characteristics is associated with better clinical performance. RESEARCH
designData came from the Health Resources and Services Administration's 2009 Uniform Data System and the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers. Clinical performance measures included 2 process measures (childhood immunization and cervical cancer screening) and 2 outcome measures (hypertension control and diabetes control). Total and subscale PCMH scores were regressed on the clinical performance measures, adjusting for patient, provider, financial, and institutional characteristics.
resultsThe findings showed different directional relationships, with some PCMH domains (care management, test/referral tracking, quality improvement, and external coordination) showing little or no effect on outcome measures of interest, 1 domain (access/communication) associated with improved outcomes, and 1 domain (patient tracking/registry) associated with worse outcomes.
conclusionsThis study is among the first to examine the association between PCMH transformation and clinical performance in HCs, providing an understanding of the impact of PCMH adoption within safety-net settings. The mixed results highlight the importance of examining relationships between specific PCMH domains and specific clinical quality measures, in addition to analyzing overall PCMH scores which could yield distorted findings.
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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.