TABLE 2.
N* | Adjusted performance in 2009 (95% CI) | Adjusted performance in 2014 (95% CI) | Mean adjusted annual change† from 2009–2014 (95% CI) | ||||
---|---|---|---|---|---|---|---|
% | % | Percentage points | |||||
Controlled hypertension | |||||||
White | 1043 | 64.4 | (63.2–65.6) | 64.4 | (63.5–65.4) | 0.1 | (−0.2 to 0.3) |
Black | 1018 | 58.8 | (56.6–61.1) | 57.8 | (56.4–59.1) | −0.2 | (−0.6 to 0.2) |
Hispanic | 1023 | 65.7 | (64.0–67.4) | 66.8 | (65.3–68.2) | −0.1 | (−0.4 to 0.4) |
Controlled diabetes | |||||||
White | 1040 | 74.2 | (73.2–75.3) | 69.5 | (68.2–70.8) | −1.0 | (−1.3 to −0.7) |
Black | 999 | 69.6 | (68.2–71.1) | 69.4 | (67.6–71.2) | −0.2 | (−0.6 to 0.2) |
Hispanic | 1015 | 68.6 | (67.1–70.1) | 68.4 | (66.9–70.0) | −0.2 | (−0.6 to 0.2) |
Normal birthweight | |||||||
White | 908 | 90.8 | (89.6–91.9) | 91.0 | (90.2–91.9) | 0.0 | (−0.2 to 0.3) |
Black | 762 | 87.0 | (85.7–88.4) | 88.8 | (87.8–89.8) | 0.3 | (0.1 to 0.6) |
Hispanic | 812 | 91.2 | (89.0–93.3) | 92.1 | (90.2–93.9) | 0.0 | (−0.3 to 0.4) |
The adjusted performances reported in 2009 and 2014 represent the marginal, adjusted effects estimated from generalized estimating equations. The performance rates shown represent health center population-level estimates or weighted means. Performance rates are adjusted for confounding health center characteristics, including the percent of the health center patient population that was male, over age 65, uninsured, Medicaid insured, privately insured, under 100% of FPL, homeless, whose primary language is not English, health center size (total number of patients served), grant funding per patient, and whether the center was located in an urban versus non-urban area. For unadjusted rates, see Online Appendix eTable 5 and Fig. 1. *N indicates number of health centers. As shown, sample sizes vary by measure and race/ethnicity and in 2014, represent 694,685–1,194,903 patients with hypertension, 330,750–527,793 patients with diabetes, and 46,477–131,304 patients giving birth.†The mean adjusted annual change represents the linear time trend from 2009 to 2014 or the “year” coefficient in our model