文献详情
Primary care utilization and clinical quality performance: a comparison between health centres in Medicaid expansion states and non-expansion states
文献类型：期刊
期刊名称：Journal of health services research & policy
年：2019
卷：24
期：1
页码：19-28
ISSN：1758-1060
关键词：Medicaid expansion,access to care,community health centre,primary care,quality of care
所属部门：公共管理学院
摘要：The United States Government's Medicaid expansion policy has important implications for health centres, since a large proportion of health centre patients are Medicaid enrollees. The objective of this study was to compare primary care utilization and clinical quality performance between health centres in Medicaid expansion states and those in Medicaid non-expansion states.We conducted a cross-sectional study. Multiple regressions, using a standard linear model, were performed to examine the rela ...More
The United States Government's Medicaid expansion policy has important implications for health centres, since a large proportion of health centre patients are Medicaid enrollees. The objective of this study was to compare primary care utilization and clinical quality performance between health centres in Medicaid expansion states and those in Medicaid non-expansion states.We conducted a cross-sectional study. Multiple regressions, using a standard linear model, were performed to examine the relationship between Medicaid expansion status and performance measures, accounting for covariates.Our results showed that in unadjusted analyses, health centres in Medicaid expansion states reported larger number of patients served, larger number of medical visits, a higher percentage of Medicaid patients, and better performance in seven of 16 clinical quality measures than those in Medicaid non-expansion states. After controlling for relevant health centre-level covariates, the differences in mean patients served, mean medical visits, percentage of Medicaid patients, and five clinical quality measures still existed.These findings reveal significant associations between Medicaid expansion and primary care utilization and the quality of care. Medicaid expansion has demonstrated its potential role in promoting primary care for vulnerable populations served by health centres. ...Hide

DOI：10.1177/1355819618788592
百度学术：Primary care utilization and clinical quality performance: a comparison between health centres in Medicaid expansion states and non-expansion states
语言：外文
人气指数：1
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作者其他论文



Primary care utilization and clinical quality performance: a comparison between health centres in Medicaid expansion states and non-expansion states.Lee De-Chih, Shi Leiyu, Liang Hailun,.Journal of health services research & policy. 2018, 1355819618788592.
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Cancer screening among racial/ethnic groups in health centers.Lee De-Chih, Liang Hailun, Chen Nanqian, et al. .International journal for equity in health. 2020, 19(1), 43.
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