Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice
作者:
Cheryl Ulmer,
Deborah Lewis-Idema,
Ann Von Worley,
Judy Rodgers,
Lawrence Berger,
Elizabeth Darling,
Bonnie Lefkowitz,
期刊:
Journal of Ambulatory Care Management
(OVID Available online 2000)
卷期:
Volume 23,
issue 1
页码: 23-38
ISSN:0148-9917
年代: 2000
出版商: OVID
关键词: asthma;community health centers;diabetes;hypertension;otitis;practice guidelines;primary care;quality of care
数据来源: OVID
摘要:
Under managed care, community health center (CHC) care patterns will be increasingly subject to outside scrutiny. This article discusses results of medical records reviews assessing quality of care at CHCs for acute otitis media, diabetes, asthma, and hypertension. As a group, these safety net providers meet or exceed prevailing practice across other health care settings; however, there is substantial variation among sites. Regression analyses indicate that the individual CHC used by a patient is the most consistent determinant of whether a patient receives recommended care. Drawing on these results, the article explores approaches for improving care and discusses the implications for performance measurement among CHCs and other safety net providers.
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