ArticleBMC health services research2018
Patient-centered medical home care access among adults with chronic conditions: National Estimates from the medical expenditure panel survey.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion.BMC health services research · 2021Pooled it
- Prescription cost analysis and economic impact of drug treatment in patients with chronic illness, attending the medicine out-patient department in a tertiary care hospital at South Delhi.Cost effectiveness and resource allocation : C/E · 2025Article
- Racial Disparities in Cardiovascular Health Among the Acute Coronary Syndrome Population.Population health management · 2023Article
- Regional Variation in Health Care Utilization Among Adults With Inadequate Cardiovascular Health in the USA.Cureus · 2023Article
- Article
- Households' Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia.International journal of environmental research and public health · 2022Article
- Specialized primary care medical home: A positive impact on continuity of care among autistic adults.Autism : the international journal of research and practice · 2021Article
- Chronic diseases: An added burden to income and expenses of chronically-ill people in Sri Lanka.PloS one · 2020Article
- Do chronic illnesses and poverty go hand in hand?PloS one · 2020Article
- Using medical expenditure panel survey data to explore the relationship between patient-centered medical homes and racial disparities in severe maternal morbidity outcomes.Women's health (London, England)Article
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Patient-Centered Medical Home (PCMH) model is a coordinated-care model that has served as a means to improve several chronic disease outcomes and reduce management costs. However, access to PCMH has not been explored among adults suffering from chronic conditions in the United States. Therefore, the aim of this study was to describe the changes in receiving PCMH among adults suffering from chronic conditions that occurred from 2010 through 2015 and to identify predisposing, enabling, and need factors associated with receiving a PCMH.
methodsA cross-sectional analysis was conducted for adults with chronic conditions, using data from the 2010-2015 Medical Expenditure Panel Surveys (MEPS). Most common chronic conditions in the United States were identified by using the most recent data published by the Agency for Healthcare Research and Quality (AHRQ). The definition established by the AHRQ was used as the basis to determine whether respondents had access to PCMH. Multivariate logistic regression analyses were conducted to detect the association between the different variables and access to PCMH care.
resultsA total of 20,403 patients with chronic conditions were identified, representing 213.7 million U.S. lives. Approximately 19.7% of the patients were categorized as the PCMH group at baseline who met all the PCMH criteria defined in this paper. Overall, the percentage of adults with chronic conditions who received a PCMH decreased from 22.3% in 2010 to 17.8% in 2015. The multivariate analyses revealed that several subgroups, including individuals aged 66 and older, separated, insured by public insurance or uninsured, from low-income families, residing in the South or the West, and with poor health, were less likely to have access to PCMH.
conclusionOur findings showed strong insufficiencies in access to a PCMH between 2010 and 2015, potentially driven by many factors. Thus, more resources and efforts need to be devoted to reducing the barriers to PCMH care which may improve the overall health of Americans with chronic conditions.
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