TY - JOUR
T1 - Money, managed care, and medicaid initiatives matter
T2 - Patient-centered medical home capacity in school-based health centers
AU - Gregg, Abbey
AU - Kim, Jungyoon
AU - Tak, Hyo Jung
AU - Wang, Hongmei
AU - Tibbits, Melissa
AU - Wehbi, Nizar K
N1 - Funding Information:
This research was funded by the University of Nebraska Buffett Early Childhood Institute through their Graduate Scholars Program. The views and opinions expressed in this article do not necessarily reflect those of the Buffett Early Childhood Institute or the School-Based Health Alliance.
Publisher Copyright:
© Meharry Medical College.
PY - 2019/2
Y1 - 2019/2
N2 - School-based health centers (SBHCs) have been suggested as potential medical homes, but may experience challenges implementing the patient-centered medical home (PCMH) model. It is currently unknown if there are PCMH variations among different types of SBHCs. The purpose of this study was to examine the associations between SBHC characteristics and PCMH capacity. Using 2013–2014 National Census of School-Based Health Centers data, SBHC PCMH Index scores were calculated and used as outcomes in linear regression models examining associations between PCMH capacity and SBHC characteristics. The mean PCMH capacity score for all SBHCs was 68.59%, with higher scores in the Comprehensive Care domain than in the Care Quality domain. Managed care arrangements, Medicaid PCMH initiatives, more funding sources, and higher patient billing activity were all positively associated with overall PCMH capacity. Having higher percentages of students who are members of racial/ethnic minority groups was negatively associated with overall PCMH capacity.
AB - School-based health centers (SBHCs) have been suggested as potential medical homes, but may experience challenges implementing the patient-centered medical home (PCMH) model. It is currently unknown if there are PCMH variations among different types of SBHCs. The purpose of this study was to examine the associations between SBHC characteristics and PCMH capacity. Using 2013–2014 National Census of School-Based Health Centers data, SBHC PCMH Index scores were calculated and used as outcomes in linear regression models examining associations between PCMH capacity and SBHC characteristics. The mean PCMH capacity score for all SBHCs was 68.59%, with higher scores in the Comprehensive Care domain than in the Care Quality domain. Managed care arrangements, Medicaid PCMH initiatives, more funding sources, and higher patient billing activity were all positively associated with overall PCMH capacity. Having higher percentages of students who are members of racial/ethnic minority groups was negatively associated with overall PCMH capacity.
KW - Access to care
KW - Adoption of innovation
KW - Chronic disease management
KW - Health care quality
KW - Health disparity
KW - Health information technology
KW - Managed care
KW - Medically underserved children
KW - Organizational theory
KW - Patient-centered medical home
KW - School-based health center
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U2 - 10.1353/hpu.2019.0016
DO - 10.1353/hpu.2019.0016
M3 - Article
C2 - 30827978
AN - SCOPUS:85062407273
SN - 1049-2089
VL - 30
SP - 202
EP - 220
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 1
ER -