Methodological Challenges of Measuring Primary Car... Catalogue en ligne

Titre :	Methodological Challenges of Measuring Primary Care Delivery to Pediatric Medicaid Beneficiaries Who Use Community Health Centers. (2013)
Auteurs :	Karen-R TYO ; GUREWICH (Deborah) : USA. Center for Health Policy and Research. University of Massachusetts Medical School. Worcester. ; Donald-S SHEPARD
Type de document :	Article
Dans :	American journal of public health (vol. 103, n° 2, 2013)
Pagination :	273-275
Langues:	Anglais
Mots-clés :	Méthodologie ; Accouchement ; Enfant ; Pédiatrie ; Assurance maladie ; Utilisation ; Santé communautaire ; Centre santé ; Homme ; Amérique ; Medicaid ; Bénéficiaire ; Amérique du Nord
Résumé :	[BDSP. Notice produite par INIST-CNRS H9R0xrEJ. Diffusion soumise à autorisation]. Efforts to measure quality of care have focused on ambulatory care providers. We examined the performance of community health centers serving children on Medicaid in 3 states. Descriptive analysis showed considerable patient population heterogeneity, and regression analysis demonstrated that variation explained by the assigned provider was small (mean R2=4.3%) compared with the variation explained by patient demographic variables (mean R2=29.9%). The results reinforce the need for caution when one is attributing quality differences to provider performance.

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