Table 3.
Quality of Care for Those Left Behind From Medical Home Reforms Compared With Those Attached to a Medical Home, March 31, 2011
| Quality of Care Measure | Crude Rate % (No.) | Unadjusted RRa (95% CI) | RR Adjusted for Patient Demographicsb and Comorbidityc (95% CI) |
|---|---|---|---|
| Recommended testing for diabetes | |||
| Comprehensive fee for service | 25 (12,799) | 0.74 (0.72–0.75) | 0.74 (0.73–0.75) |
| Noncomprehensive fee for service | 23 (5,022) | 0.68 (0.66–0.69) | 0.68 (0.67–0.70) |
| Attached to a medical home | 34 (273,789) | 1 [Reference] | 1 [Reference] |
| Cervical cancer screening | |||
| Comprehensive fee for service | 52 (67,963) | 0.78 (0.77–0.78) | 0.79 (0.79–0.79) |
| Noncomprehensive fee for service | 50 (26,096) | 0.75 (0.74–0.75) | 0.76 (0.75–0.76) |
| Attached to a medical home | 66 (1,460,364) | 1 [Reference] | 1 [Reference] |
| Breast cancer screening | |||
| Comprehensive fee for service | 58 (38,078) | 0.79 (0.78–0.79) | 0.80 (0.80–0.81) |
| Noncomprehensive ffee for service | 60 (15,762) | 0.81 (0.80–0.82) | 0.81 (0.81–0.82) |
| Attached to a medical home | 73 (815,225) | 1 [Reference] | 1 [Reference] |
| Colorectal cancer screening | |||
| Comprehensive fee for service | 44 (74,929) | 0.70 (0.70–0.71) | 0.72 (0.71–0.72) |
| Noncomprehensive fee for service | 45 (31,831) | 0.72 (0.72–0.73) | 0.73 (0.72–0.74) |
| Attached to a medical home | 62 (1,673,652) | 1 [Reference] | 1 [Reference] |
RR = relative risk.
a
Based on log binomial models.
b
Adjustment for the following patient demographics: age, income quintile, immigration, rurality.
c
Adjustment for the following patient comorbidities: acute myocardial infarction, congestive heart failure, hypertension, chronic obstructive pulmonary disease, asthma, mental illness, diabetes mellitus (excluded when assessing recommended testing for diabetes), Resource Utilization Band.