• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Journal of Primary Care Community Health >Impacts of Initial Transformation to a Patient-Centered Medical Home on Diabetes Outcomes in Federally Qualified Health Centers in Florida
【2h】

Impacts of Initial Transformation to a Patient-Centered Medical Home on Diabetes Outcomes in Federally Qualified Health Centers in Florida

机译：在佛罗里达州获得联邦资格的医疗中心中初步转变为以患者为中心的医疗之家对糖尿病结局的影响

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

>Objective: Federally qualified health centers (FQHCs) in Florida see large numbers of vulnerable patients with diabetes. Patient-centered medical home (PCMH) models can lead to improvements in health for patients with chronic conditions and cost savings for providers. Therefore, FQHCs are increasingly moving to PCMH models of care. The study objective was to examine the effects of initial transformation to a level 3 National Committee for Quality Assurance (NCQA) certified PCMH in 2011, on clinical diabetes outcomes among 27 clinic sites from a network of FQHCs in Florida. >Methods: We used de-identified, longitudinal electronic health record (EHR) data from 2010-2012 and multivariate logistic regression to analyze the effects of initial transformation on the odds of having well-controlled HbA1c, body mass index (BMI), and blood pressure (BP) among vulnerable patients with diabetes. Models controlled for clustering by year, patient, and organizational characteristics. >Results: Overall, transformation to a PCMH was associated with 19% greater odds of having well-controlled HbA1c values with no statistically significant impact on BMI or BP. Subanalyses showed transformation had less of an effect on BP for African American patients and HbA1c control for Medicare enrollees but a greater effect on weight control for patients older than 35 years. >Conclusion: Transformation to a PCMH in FQHCs appears to improve the health of vulnerable patients with diabetes, with less improvement for subsets of patients. Future research should seek to understand the heterogeneous effects of patient-centered transformation on various subgroups.
机译：>目的：佛罗里达州具有联邦资格的医疗中心（FQHC）看到大量易患糖尿病的患者。以患者为中心的医疗之家（PCMH）模型可以改善慢性病患者的健康状况，并为医疗服务提供者节省成本。因此，FQHC越来越多地转向PCMH护理模式。该研究的目的是研究佛罗里达州FQHC网络中27个临床站点在2011年初始转换为3级国家质量保证委员会（NCQA）认证的PCMH对糖尿病临床结局的影响。 >方法：我们使用了从2010年至2012年的身份不明的纵向电子健康记录（EHR）数据和多元Logistic回归分析了初始转化对HbA1c控制良好，体重的可能性的影响糖尿病患者的血压指数（BMI）和血压（BP）。通过按年，患者和组织特征进行聚类控制的模型。 >结果：总体而言，向PCMH的转化与HbA1c值控制得当的可能性增加了19％，而对BMI或BP的影响没有统计学意义。亚分​​析显示，转化对非洲裔美国患者的血压影响较小，而对Medicare参加者的HbA1c控制影响较小，但对35岁以上患者的体重控制影响较大。 >结论：在FQHCs中转化为PCMH似乎可以改善易感糖尿病患者的健康，而对部分患者的改善较小。未来的研究应设法了解以患者为中心的转变对各个亚组的异质性影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号