Methodological challenges of measuring primary care delivery to pediatric medicaid beneficiaries who use community health centers

K.R. Tyo, D. Gurewich and D.S. Shepard

American Journal of Public Health, 2013, vol. 103, issue 2, 273-275

Abstract: 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. Copyright © 2012 by the American Public Health Association®.

Keywords: adolescent; article; child; health care delivery; health center; health service; human; infant; medicaid; newborn; pediatrics; preschool child; primary health care; regression analysis; statistical model; statistics; United States; utilization review, Adolescent; Child; Child, Preschool; Community Health Centers; Delivery of Health Care; Health Services Needs and Demand; Humans; Infant; Infant, Newborn; Logistic Models; Medicaid; Pediatrics; Primary Health Care; Regression Analysis; United States (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.300884_8

DOI: 10.2105/AJPH.2012.300884

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