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Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0b013e31822cbc59
Original Articles

Comparative Performance of Community Health Centers and Other Usual Sources of Primary Care

Gurewich, Deborah PhD; Tyo, Karen R. MA, MSW; Zhu, Junya MS; Shepard, Donald S. PhD

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Objective: To determine how Community Health Centers (CHCs) perform relative to other primary care providers.

Research Design: A retrospective cohort study of Medicaid claims comparing provider groups on the basis of avoidable hospitalizations and costs.

Results: Avoidable hospitalization rates did not differ significantly across care settings. Hospital outpatient departments and CHCs had comparable total costs, whereas physicians had slightly but significantly lower total costs.

Conclusions: Understanding determinants of care cost differences could inform future performance improvement initiatives. Care quality variance within provider groups may be more significant than care quality performance across care settings.

© 2011 Lippincott Williams & Wilkins, Inc.


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