TABLE 3—
Primary Care and Public Health Achievements Among Federally Funded Health Centers: Primary Care Assessment Tool and Public Health Involvement Questionnaire, United States, 2011
Health Center Characteristics | HC 1 | HC 2 | HC 3 | HC 4 | HC 5 | HC 6 | HC 7 | HC 8 | HC 9 |
Patients with chronic conditions, % | 21–40 | 61–80 | 21–40 | 61–80 | 41–60 | 61–80 | … | 21–40 | 61–80 |
Average patient tenure, y | ≥ 5 | ≥ 5 | ≥ 5 | Variable | Variable | ≥ 5 | Variable | ≥ 5 | ≥ 5 |
Patients using HC as usual care provider, % | 81–100 | 81–100 | 81–100 | 81–100 | 81–100 | 0–20 | 81–100 | 81–100 | 81–100 |
Patients using HC for all medical needs, % | 61–80 | 81–100 | 61–80 | 61–80 | 61–80 | 61–80 | 61–80 | 61–80 | 81–100 |
Primary care achievements,a total score (average item score) | |||||||||
Total (maximum = 152) | 125 (3.3) | 129 (3.4) | 132 (3.5) | 139 (3.7) | 127 (3.3) | 132 (3.5) | 136 (3.6) | 121 (3.2) | 140 (3.7) |
Accessibility (maximum = 36) | 26 (2.9) | 23 (2.6) | 30 (3.3) | 24 (2.7) | 21 (2.3) | 25 (2.8) | 26 (2.9) | 33 (3.7) | 28 (3.1) |
Coordination (maximum = 32) | 29 (3.6) | 30 (3.8) | 27 (3.4) | 32 (4.0) | 29 (3.6) | 30 (3.8) | 29 (3.6) | 25 (3.1) | 31 (3.9) |
Community orientation (maximum = 84) | 70 (3.3) | 76 (3.6) | 75 (3.6) | 83 (4.0) | 77 (3.7) | 77 (3.7) | 81 (3.9) | 63 (3.0) | 81 (3.9) |
Public health involvement,b total score (average item score) | |||||||||
Total (maximum = 30) | 29 (2.9) | 27 (2.7) | 27 (2.7) | 30 (3.0) | 26 (2.6) | 25 (2.5) | 22 (2.2) | 26 (2.6) | 30 (3.0) |
Monitor health status | 3 | 2 | 3 | 3 | 3 | 2 | 2 | 3 | 3 |
Diagnose/investigate health problems | 3 | 2 | 3 | 3 | 1 | 1 | 1 | 1 | 3 |
Inform, educate, empower | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
Mobilize community partnership | 3 | 3 | 3 | 3 | 2 | 3 | 3 | 2 | 3 |
Develop policies and plans | 3 | 3 | 2 | 3 | 3 | 2 | 1 | 3 | 3 |
Laws and regulations | 3 | 3 | 1 | 3 | 2 | 3 | 1 | 2 | 3 |
Link to needed personal health services | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
Ensure competent workforce | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
Evaluate health services | 2 | 3 | 3 | 3 | 3 | 2 | 3 | 3 | 3 |
Research solutions to health problems | 3 | 2 | 3 | 3 | 3 | 3 | 2 | 3 | 3 |
Note. HC = health center. Ellipses indicate data not known.
Modified Primary Care Assessment Tool, scored on a Likert-type scale: 1 = definitely not, 2 = probably not, 3 = probably, 4 = definitely.
Questionnaire assessing public health 10 essential services, scored on a Likert-type scale: 1 = rarely, 2 = sometimes, 3 = often.