Patient Reports of the Quality of Care in Community Health Centers: The Importance of Having a Regular Provider

The Aetna Foundation, Hartford, Conn., USA.
Journal of Health Care for the Poor and Underserved (Impact Factor: 1.1). 05/2010; 21(2):591-605. DOI: 10.1353/hpu.0.0305
Source: PubMed


To examine the importance of having a regular provider in community health centers (CHCs) for high quality care.
Analyses of a national survey-the Commonwealth Fund 2006 Health care Quality Survey-among patients with a private doctor's (PMD) office (n=1,743) or CHC (n=275) as their regular source of care. Outcomes include prevention measures, and measures of patient experience.
Patients at CHCs are less likely than patients who use a PMD to report having a regular doctor (53% vs. 95%, p<or=.001). They also report lower rates for all the preventive care and patient experience measures. However, the differences in quality are eliminated when CHC patients have a regular provider.
When CHC patients have a regular provider, they receive higher quality care. Policymakers should support expansions of the CHC health care workforce to ensure patients have access to a regular provider, which leads to higher quality care.

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