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Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods

Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable... ORIGINAL INVESTIGATION HEALTH CARE REFORM Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods Mark W. Friedberg, MD, MPP; Kathryn L. Coltin, MPH; Dana Gelb Safran, ScD; Marguerite Dresser, MA; Eric C. Schneider, MD, MSc Background: Under current medical home proposals, gual clinicians (80% vs 51%; P.001), and multifunc- primary care practices using specific structural capabili- tional electronic health records (48% vs 29%; P=.01). ties will receive enhanced payments. Some practices dis- Similarly, economic disproportionate-share practices were proportionately serve sociodemographically vulnerable more likely than others to have physician awareness of neighborhoods. If these practices lack medical home ca- patient experience ratings (73% vs 65%; P=.03), on-site pabilities, their ineligibility for enhanced payments could language interpreters (56% vs 25%; P.001), multilin- worsen disparities in care. gual clinicians (78% vs 51%; P.001), and multifunc- tional electronic health records (40% vs 31%; P=.03). Dis- Methods: Via survey, 308 Massachusetts primary care proportionate-share practices were larger than others. practices reported their use of 13 structural capabilities After adjustment for practice size, only language capa- commonly included in medical home proposals. Using bilities continued to have statistically significant rela- geocoded US Census data, we constructed racial/ethnic tionships with disproportionate-share status. minority http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods

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References (42)

Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2010.110
pmid
20548005
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION HEALTH CARE REFORM Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods Mark W. Friedberg, MD, MPP; Kathryn L. Coltin, MPH; Dana Gelb Safran, ScD; Marguerite Dresser, MA; Eric C. Schneider, MD, MSc Background: Under current medical home proposals, gual clinicians (80% vs 51%; P.001), and multifunc- primary care practices using specific structural capabili- tional electronic health records (48% vs 29%; P=.01). ties will receive enhanced payments. Some practices dis- Similarly, economic disproportionate-share practices were proportionately serve sociodemographically vulnerable more likely than others to have physician awareness of neighborhoods. If these practices lack medical home ca- patient experience ratings (73% vs 65%; P=.03), on-site pabilities, their ineligibility for enhanced payments could language interpreters (56% vs 25%; P.001), multilin- worsen disparities in care. gual clinicians (78% vs 51%; P.001), and multifunc- tional electronic health records (40% vs 31%; P=.03). Dis- Methods: Via survey, 308 Massachusetts primary care proportionate-share practices were larger than others. practices reported their use of 13 structural capabilities After adjustment for practice size, only language capa- commonly included in medical home proposals. Using bilities continued to have statistically significant rela- geocoded US Census data, we constructed racial/ethnic tionships with disproportionate-share status. minority

Journal

JAMA Internal Medicine – American Medical Association

Published: Jun 14, 2010

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