Table 3.
Multiple Regression: Clinical Performance Measures and Health Center Characteristics
| Estimates (SE) | ||||||
|---|---|---|---|---|---|---|
| % Adult Receiving Weight Screening (N = 1,193) | % Aspirin Therapy (N = 1,020) | % Asthma Patients Receiving Pharmacologic Therapy (N = 1,002) | % Colorectal Cancer Screening (N = 1,186) | % Child Immunization (N = 914) | % Child Weight Assessment (N = 1,156) | |
| PCMH recognition (1 vs. 0) | 4.2333 (1.522)** | 0.5034 (1.417) | 3.5164 (1.666)* | 1.8893 (1.3042) | 0.0102 (1.8831) | 2.4395 (1.7591) |
| % minority patients | 0.1047 (0.0238)*** | −0.0067 (0.023) | 0.0548 (0.0262)* | 0.0601 (0.0204)** | 0.2149 (0.0316)*** | 0.1688 (0.0277)*** |
| % uninsured patients | −0.0118 (0.0361) | −0.0952 (0.0371)* | −0.0989 (0.0408)* | −0.199 (0.031)*** | 0.0057 (0.0512) | −0.1698 (0.0435)*** |
| % homeless patients | 0.1263 (0.0563)* | −0.0321 (0.0613) | −0.011 (0.0641) | −0.0187 (0.0482) | −0.0471 (0.0814) | −0.0631 (0.0689) |
| % migrant/seasonal patients | −0.1385 (0.0651)* | −0.1075 (0.0785) | 0.0161 (0.0812) | −0.0002 (0.0562) | 0.0651 (0.0885) | 0.0553 (0.076) |
| EHR (1 vs. 0) | −13.4231 (1.3127)*** | −8.3598 (1.2524)*** | −5.6741 (1.508)*** | −9.0156 (1.1252)*** | −0.7828 (1.83) | −11.2953 (1.5721)*** |
| Type of funding | ||||||
| MHC (1 vs. 0) | 0.377 (2.1996) | 2.1466 (2.1035) | 1.4128 (2.4259) | −2.2811 (1.8804) | 1.7272 (2.6404) | 3.4104 (2.5096) |
| CHC (1 vs. 0) | 5.0957 (4.2458) | −3.9012 (4.6283) | 5.4675 (4.8282) | 1.5091 (3.6397) | 8.6803 (6.0777) | 6.7549 (5.101) |
| HCH (1 vs. 0) | −3.057 (1.9991) | 1.6192 (1.8447) | 1.4822 (2.1061) | −1.2164 (1.7061) | 1.1091 (2.3858) | 0.6164 (2.3107) |
| PHPC (1 vs. 0) | 1.4145 (2.783) | 1.6826 (2.635) | −1.5187 (2.9759) | −0.9888 (2.374) | 1.7082 (3.3812) | 5.3531 (3.1819) |
| Net revenue (in $10,000) | 0.0003 (0.0006) | 0.0006 (0.0005) | −0.0004 (0.0006) | 0.0016 (0.0005)*** | 0.0002 (0.0007) | 0.0002 (0.0006) |
| Physician team FTE per 10,000 medical patients | 0.0636 (0.2301) | 0.9348 (0.2476)*** | −0.0336 (0.2766) | 0.6294 (0.2001)** | −0.0016 (0.3501) | −0.0365 (0.2837) |
| Enabling service provider FTE per 10,000 medical patients | −0.0622 (0.0334) | 0.0127 (0.0594) | 0.0075 (0.0523) | 0.003 (0.0385) | 0.034 (0.1082) | −0.0792 (0.0679) |
| Urban vs. rural (1 vs. 0) | −1.8297 (1.5915) | 0.4786 (1.529) | 1.5942 (1.7432) | −2.0511 (1.3631) | 3.7263 (2.0313) | 6.1121 (1.829)*** |
| Estimates (SE) | ||||||
|---|---|---|---|---|---|---|
| % Diabetes Control (HBA1c<7) (N = 1,176) | % Diabetes Control (HBA1c<8) (N = 1,176) | % Diabetes Control (HBA1c<9) (N = 1,176) | % Hypertension Control (N = 1,179) | % LBW (N = 650) | % Lipid Therapy (N = 966) | |
| PCMH recognition (1 vs. 0) | 2.069 (0.7314)** | 1.9088 (0.8684)* | 2.0335 (0.9071)* | 1.3804 (0.7519) | 0.3298 (0.3399) | 2.538 (1.3649) |
| % minority patients | −0.0767 (0.0114)*** | −0.0909 (0.0135)*** | −0.0798 (0.0141)*** | −0.0206 (0.0117) | 0.0208 (0.006)*** | 0.0048 (0.0225) |
| % uninsured patients | −0.0888 (0.0173)*** | −0.0695 (0.0205)*** | −0.0464 (0.0214)* | −0.0708 (0.0178)*** | −0.0254 (0.0094)** | −0.0102 (0.036) |
| % homeless patients | −0.0449 (0.0274) | −0.0525 (0.0325) | −0.0742 (0.0339)* | −0.0547 (0.0279) | 0.0392 (0.0187)* | −0.0696 (0.0589) |
| % migrant/seasonal patients | 0.0038 (0.0318) | −0.0042 (0.0377) | −0.0017 (0.0394) | −0.0016 (0.0326) | −0.0202 (0.015) | −0.1201 (0.0773) |
| EHR (1 vs. 0) | −2.6855 (0.6098)*** | −3.4917 (0.7241)*** | −4.3224 (0.7562)*** | −4.6053 (0.6259)*** | N/A | −3.0803 (1.225)* |
| Type of funding | ||||||
| MHC (1 vs. 0) | −0.1768 (1.0532) | −1.2089 (1.2506) | −1.4227 (1.3062) | −0.8326 (1.0783) | −0.5364 (0.4573) | 2.1591 (1.9813) |
| CHC (1 vs. 0) | 0.3468 (2.0892) | 3.6509 (2.4809) | 3.0109 (2.5912) | −1.8528 (2.1112) | 0.6898 (1.2326) | 2.4576 (4.4865) |
| HCH (1 vs. 0) | 0.3434 (0.9551) | −1.039 (1.1342) | −0.7444 (1.1846) | −1.1236 (0.9825) | 0.0007 (0.4235) | 2.2338 (1.7464) |
| PHPC (1 vs. 0) | −0.1911 (1.332) | 0.6317 (1.5817) | −0.0244 (1.652) | 1.9541 (1.3725) | 1.0466 (0.601) | −2.3886 (2.5324) |
| Net revenue (in $10,000) | 0.0001 (0.0003) | 0.0003 (0.0003) | 0.0003 (0.0003) | 0.0005 (0.0003) | 0.00001 (0.0001) | 0.0002 (0.0005) |
| Physician team FTE per 10,000 medical patients | 0.0822 (0.1119) | 0.1193 (0.1329) | 0.2263 (0.1388) | −0.0081 (0.1152) | −0.0482 (0.0643) | −0.0869 (0.2334) |
| Enabling service provider FTE per 10,000 medical patients | 0.0116 (0.0215) | 0.013 (0.0255) | −0.001 (0.0266) | 0.0708 (0.0221)** | −0.0364 (0.0198) | 0.0614 (0.0644) |
| Urban vs. rural (1 vs. 0) | 0.7659 (0.7628) | 1.4046 (0.9058) | 1.3689 (0.9461) | −0.3411 (0.7816) | −0.3792 (0.3689) | 2.4822 (1.4779) |
| Estimates (SE) | ||||
|---|---|---|---|---|
| % Pap Test (N = 1,188) | % Prenatal Care (N = 708) | % Tobacco Cessation Intervention (N = 1,175) | % Tobacco Assessment (N = 1,193) | |
| PCMH recognition (1 vs. 0) | 4.1201 (1.2415)*** | 3.9713 (1.1564)*** | 3.7993 (1.7852)* | 3.0079 (1.3256)* |
| % minority patients | 0.1119 (0.0194)*** | −0.1074 (0.0202)*** | −0.0306 (0.028) | −0.0363 (0.0205) |
| % uninsured patients | −0.0918 (0.0294)** | −0.1427 (0.0319)*** | −0.0364 (0.0427) | −0.0516 (0.0311) |
| % homeless patients | −0.0677 (0.0459) | −0.0224 (0.0582) | 0.0915 (0.0672) | 0.0772 (0.0485) |
| % migrant/seasonal patients | 0.0682 (0.0533) | 0.1952 (0.0511)*** | −0.1127 (0.0817) | −0.0749 (0.056) |
| EHR (1 vs. 0) | −6.6603 (1.0595)*** | N/A | −11.9137 (1.5127)*** | −3.7222 (1.1)*** |
| Type of funding | ||||
| MHC (1 vs. 0) | 1.556 (1.785) | −1.4539 (1.5816) | 0.5128 (2.5801) | 0.9836 (1.8984) |
| CHC (1 vs. 0) | 5.5389 (3.461) | −1.1501 (3.8953) | −5.4219 (5.1166) | 6.2299 (3.6593) |
| HCH (1 vs. 0) | −0.0684 (1.6229) | −0.7383 (1.463) | −2.4721 (2.3307) | 0.926 (1.7235) |
| PHPC (1 vs. 0) | −4.168 (2.2586) | −0.3185 (2.067) | 1.602 (3.2433) | −1.4507 (2.3996) |
| Net revenue (in $10,000) | 0.0018 (0.0005)*** | −0.0001 (0.0004) | 0.0007 (0.0007) | 0.0004 (0.0005) |
| Physician team FTE per 10,000 medical patients | 0.5472 (0.1875)** | 0.7558 (0.2139)*** | 0.1204 (0.2701) | −0.1474 (0.1985) |
| Enabling service provider FTE per 10,000 medical patients | 0.0057 (0.0282) | 0.0784 (0.0517) | 0.0073 (0.0419) | 0.0103 (0.0288) |
| Urban vs. rural (1 vs. 0) | 3.9883 (1.2904)** | 0.5407 (1.2648) | 1.8787 (1.8671) | 1.6372 (1.3679) |
*p < .05, **p < .01, ***p < .001.
CHC, community health center; HCH, health care for the homeless; MHC, migrant health center;PHPC, public housing primary care.