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Tytuł pozycji:

Assessing clinical quality performance and staffing capacity differences between urban and rural Health Resources and Services Administration-funded health centers in the United States: A cross sectional study.

Tytuł:
Assessing clinical quality performance and staffing capacity differences between urban and rural Health Resources and Services Administration-funded health centers in the United States: A cross sectional study.
Autorzy:
Pourat N; Center for Health Policy Research, University of California, Los Angeles (UCLA), Los Angeles, California, United States of America.; Department of Health Policy and Management, Fielding School of Public Health, UCLA, Los Angeles, California, United States of America.
Chen X; Center for Health Policy Research, University of California, Los Angeles (UCLA), Los Angeles, California, United States of America.
Lu C; Center for Health Policy Research, University of California, Los Angeles (UCLA), Los Angeles, California, United States of America.
Zhou W; Center for Health Policy Research, University of California, Los Angeles (UCLA), Los Angeles, California, United States of America.
Hoang H; Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services, Rockville, Maryland, United States of America.
Sripipatana A; Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services, Rockville, Maryland, United States of America.
Źródło:
PloS one [PLoS One] 2020 Dec 08; Vol. 15 (12), pp. e0242844. Date of Electronic Publication: 2020 Dec 08 (Print Publication: 2020).
Typ publikacji:
Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.
Język:
English
Imprint Name(s):
Original Publication: San Francisco, CA : Public Library of Science
MeSH Terms:
Quality of Health Care/*statistics & numerical data
Rural Health Services/*statistics & numerical data
Rural Population/*statistics & numerical data
United States Health Resources and Services Administration/*economics
Urban Health Services/*statistics & numerical data
Urban Population/*statistics & numerical data
Workforce/*statistics & numerical data
Cross-Sectional Studies ; Humans ; Rural Health Services/economics ; United States ; Urban Health Services/economics
References:
Med Care. 2003 Jul;41(7 Suppl):III65-III74. (PMID: 12865728)
Prev Chronic Dis. 2014 Aug 21;11:E141. (PMID: 25144676)
PLoS One. 2015 Dec 04;10(12):e0144075. (PMID: 26636324)
Health Serv Res. 2017 Jun;52(3):984-1004. (PMID: 27324440)
Online J Public Health Inform. 2014 Oct 16;6(2):e185. (PMID: 25422721)
Health Serv Res. 2017 Apr;52(2):807-825. (PMID: 27283354)
J Rural Health. 2019 Jan;35(1):58-67. (PMID: 30561839)
J Ambul Care Manage. 2013 Jan-Mar;36(1):24-34. (PMID: 23222010)
J Am Dent Assoc. 2002 Dec;133(12):1672-81. (PMID: 12512669)
J Cancer Educ. 2014 Mar;29(1):30-7. (PMID: 23996232)
Health Serv Res. 2014 Oct;49(5):1498-518. (PMID: 24779670)
J Assoc Nurses AIDS Care. 2013 Sep-Oct;24(5):422-37. (PMID: 23352771)
J Rural Health. 2016 Jun;32(3):235-44. (PMID: 26335025)
Med Care Res Rev. 2003 Mar;60(1):85-100. (PMID: 12674021)
J Rural Health. 2003 Spring;19(2):117-24; discussion 115-6. (PMID: 12696847)
J Am Board Fam Med. 2016 May-Jun;29(3):318-24. (PMID: 27170789)
J Ambul Care Manage. 1999 Oct;22(4):45-52. (PMID: 11184888)
Pediatrics. 2007 Oct;120(4):e887-94. (PMID: 17846146)
AIDS Care. 1998 Jun;10(3):365-75. (PMID: 9828979)
J Health Care Poor Underserved. 2018;29(3):833-842. (PMID: 30122667)
Health Aff (Millwood). 2005 Jul-Aug;24(4):1128-39. (PMID: 16012153)
J Rural Health. 2010 Summer;26(3):240-7. (PMID: 20633092)
JAMA. 2006 Mar 1;295(9):1042-9. (PMID: 16507805)
J Immigr Minor Health. 2014 Jun;16(3):553-8. (PMID: 23315014)
J Acquir Immune Defic Syndr. 2001 Dec 1;28(4):385-92. (PMID: 11707677)
Health Serv Res. 2012 Dec;47(6):2225-49. (PMID: 22594465)
Entry Date(s):
Date Created: 20201208 Date Completed: 20210118 Latest Revision: 20210118
Update Code:
20240104
PubMed Central ID:
PMC7723285
DOI:
10.1371/journal.pone.0242844
PMID:
33290435
Czasopismo naukowe
Background: In the United States, there are nearly 1,400 Health Resources and Services Administration-funded health centers (HCs) serving low-income and underserved populations and more than 600 of these HCs are located in rural areas. Disparities in quality of medical care in urban vs. rural areas exist but data on such differences between urban and rural HCs is limited in the literature. We examined whether urban and rural HCs differed in their performance on clinical quality measures before and after controlling for patient, organizational, and contextual characteristics.
Methods and Findings: We used the 2017 Uniform Data System to examine performance on clinical quality measures between urban and rural HCs (n = 1,373). We used generalized linear regression models with the logit link function and binomial distribution, controlling for confounding factors. After adjusting for potential confounders, we found on par performance between urban and rural HCs in all but one clinical quality measure. Rural HCs had lower rates of linking patients newly diagnosed with HIV to care (74% [95% CI: 69%, 80%] vs. 83% [95% CI: 80%, 86%]). We identified control variables that systematically accounted for eliminating urban vs. rural differences in performance on clinical quality measures. We also found that both urban and rural HCs had some clinical quality performance measures that were lower than available national benchmarks. Main limitations included potential discrepancy of urban or rural designation across all HC sites within a HC organization.
Conclusions: Findings highlight HCs' contributions in addressing rural disparities in quality of care and identify opportunities for improvement. Performance in both rural and urban HCs may be improved by supporting programs that increase the availability of providers, training, and provision of technical resources.
Competing Interests: The authors have read the journal’s policy, and the authors of this manuscript have the following competing interests to declare: HH and AS are employees of the U.S. Government, U.S. Department of Health and Human Services, which funded this study. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
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