Evidence map›Paper›PMID 27324440›Full record

ArticleHealth services research2017

Patient-Centered Medical Home Recognition and Clinical Performance in U.S. Community Health Centers.

Leiyu Shi, De-Chih Lee, Michelle Chung, Hailun Liang, Diana Lock, Alek Sripipatana

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
17.9field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  15. Overuse of Health Care in the Emergency Services in Chile.International journal of environmental research and public health · 2021
    Review
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  18. How to Screen Suitable Service Improve Community Health Care Services by University Students in Taiwan.International journal of environmental research and public health · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Leiyu ShiJohns Hopkins Primary Care Policy Center, Baltimore, MD.
De-Chih LeeJohns Hopkins Primary Care Policy Center, Baltimore, MD.
Michelle ChungBureau of Primary Health Care, U.S. Department of Health and Human Services, Health Resources and Services Administration, Rockville, MD.
Hailun LiangJohns Hopkins Primary Care Policy Center, Baltimore, MD.
Diana LockJohns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Alek SripipatanaBureau of Primary Health Care, U.S. Department of Health and Human Services, Health Resources and Services Administration, Rockville, MD.
Johns Hopkins University · USHealth Resources and Services Administration · USJohns Hopkins Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmerica's community health centers (HCs) are uniquely poised to implement the patient-centered medical home (PCMH) model, as they are effective in providing comprehensive, accessible, and continuous primary care. This study aims to evaluate the relationship between PCMH recognition in HCs and clinical performance.

methodsData for this study came from the 2012 Uniform Data System (UDS) as well as a survey of HCs' PCMH recognition achievement. The dependent variables included all 16 measures of clinical performance collected through UDS. Control measures included HC patient, provider, and practice characteristics. Bivariate analyses and multiple logistic regressions were conducted to compare clinical performance between HCs with and without PCMH recognition.

findingsHealth centers that receive PCMH recognition generally performed better on clinical measures than HCs without PCMH recognition. After controlling for HC patient, provider, and practice characteristics, HCs with PCMH recognition reported significantly better performance on asthma-related pharmacologic therapy, diabetes control, pap testing, prenatal care, and tobacco cessation intervention.

conclusionThis study establishes a positive association between PCMH recognition and clinical performance in HCs. If borne out in future longitudinal studies, policy makers and practices should advance the PCMH model as a strategy to further enhance the quality of primary care.

Indexed as

Clinical CompetenceCommunity Health CentersAsthmaDiabetes MellitusHospitalsHumansPatient-Centered CarePrenatal CarePrimary Health CareQuality of Health CareSurveys and Questionnairesclinical performancecommunity health centersPatient-centered medical homequality of carevulnerable population

Identifiers

PMID27324440
PMCPMC5441497
OpenAlexW2474040229

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.