Explaining racial-ethnic differences in hypertension and diabetes control among veterans before and after patient-centered medical home implementation

Lucinda B Leung, W Neil Steers, Katherine J Hoggatt and Donna L Washington

PLOS ONE, 2020, vol. 15, issue 10, 1-10

Abstract: Patient-centered medical homes (PCMH) are primary care delivery models that improve care access and population-level health outcomes, yet they have not been observed to narrow racial-ethnic disparities in the Veteran Health Administration (VHA) or other health systems. We aimed to identify and compare underlying drivers of persistent hypertension and diabetes control differences between non-Hispanic Black (Black) and Hispanic versus non-Hispanic White (White) patients before and after PCMH implementation in the VHA. Among Black and Hispanic versus White VHA primary care patients in 2009 (nhypertension = 26,906; ndiabetes = 21,141) and 2014 (nhypertension = 83,809; ndiabetes = 38,887), we retrospectively examined hypertension control (blood pressure

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0240306

DOI: 10.1371/journal.pone.0240306

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