...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of health services research & policy >Primary care utilization and clinical quality performance: a comparison between health centres in Medicaid expansion states and non-expansion states
【24h】

Primary care utilization and clinical quality performance: a comparison between health centres in Medicaid expansion states and non-expansion states

机译：初级保健利用与临床质量绩效：医疗补助扩张状态和非扩张状态的医疗中心之间的比较

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives 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. Methods 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. Results 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. Conclusions 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.
机译：目的美国政府的医疗补助扩张政策对卫生中心具有重要影响，因为大部分保健中心患者是医疗补助登记。本研究的目的是在医疗补助扩张状态和医疗补助非扩张状态中比较医疗中心之间的初级保健利用和临床质量绩效。方法我们进行了横断面研究。使用标准线性模型进行多元回归，以检查医疗补助扩张状态和性能措施之间的关系，会计协调因素。结果我们的研究结果表明，在未调整的分析中，医疗补助扩张状态的医疗中心报告了更多的患者，更多的医疗访问，高百分比的医疗补助患者，七个临床质量措施中的七个比例比医疗补助多项 - 展开状态。在控制相关健康中心级协变量后，平均患者的差异，平均医疗访问，医疗评议患者的百分比，以及五个临床质量措施仍然存在。结论这些调查结果显示了医疗补助扩张和初级保健利用与护理质量之间的重大协会。医疗补助扩张表明其在促进卫生中心服务的弱势群体初级保健方面的潜在作用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

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