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Methodological challenges of measuring primary care delivery to pediatric medicaid beneficiaries who use community health centers

Author

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  • Tyo, K.R.
  • Gurewich, D.
  • Shepard, D.S.

Abstract

Efforts to measure quality of care have focused on ambulatory care providers. We examined the performance of community health centers serving children on Medicaid in 3 states. Descriptive analysis showed considerable patient population heterogeneity, and regression analysis demonstrated that variation explained by the assigned provider was small (mean R2 = 4.3%) compared with the variation explained by patient demographic variables (mean R2 = 29.9%). The results reinforce the need for caution when one is attributing quality differences to provider performance. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • Tyo, K.R. & Gurewich, D. & Shepard, D.S., 2013. "Methodological challenges of measuring primary care delivery to pediatric medicaid beneficiaries who use community health centers," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 273-275.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300884_8
    DOI: 10.2105/AJPH.2012.300884
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