Money, managed care, and medicaid initiatives matter: Patient-centered medical home capacity in school-based health centers

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)202-220
Number of pages19
JournalJournal of health care for the poor and underserved
Volume30
Issue number1
DOIs
StatePublished - Feb 2019

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Keywords

  • Access to care
  • Adoption of innovation
  • Chronic disease management
  • Health care quality
  • Health disparity
  • Health information technology
  • Managed care
  • Medically underserved children
  • Organizational theory
  • Patient-centered medical home
  • School-based health center

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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