Primary care quality: community health center and health maintenance organization.

作者: Leiyu Shi , Barbara Starfield , Jiahong Xu , Robert Politzer , Jerrilyn Regan

DOI: 10.1097/01.SMJ.0000066811.53167.2E

关键词: Quality (business)Family medicineNursingService (business)Community health centerPatient satisfactionCommunity healthMultivariate analysisHealth careMedicineMEDLINE

摘要: Objective This study compares the primary health care quality of community centers (CHCs) and maintenance organizations (HMOs) in South Carolina to elucidate CHC performance relative mainstream settings such as HMO. Methods Mail surveys were used obtain data from 350 randomly selected HMO users. Surveys with follow-up interviews conducted 540 A validated adult assessment tool was both surveys. Multivariate analyses performed assess association setting (HMO versus CHC) while controlling for sociodemographic characteristics. Results After use measures, patients demonstrated higher scores several domains (ongoing care, coordination service, comprehensiveness, orientation) well total performance. Conclusion Users are more likely than users rate their provider good, except area ease first contact. The positive rating is particularly impressive after taking into account that many have characteristics associated poorer ratings care.

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