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Explaining racial-ethnic differences in hypertension and diabetes control among veterans before and after patient-centered medical home implementation

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  • Lucinda B Leung
  • W Neil Steers
  • Katherine J Hoggatt
  • Donna L Washington

Abstract

Patient-centered medical homes (PCMH) are primary care delivery models that improve care access and population-level health outcomes, yet they have not been observed to narrow racial-ethnic disparities in the Veteran Health Administration (VHA) or other health systems. We aimed to identify and compare underlying drivers of persistent hypertension and diabetes control differences between non-Hispanic Black (Black) and Hispanic versus non-Hispanic White (White) patients before and after PCMH implementation in the VHA. Among Black and Hispanic versus White VHA primary care patients in 2009 (nhypertension = 26,906; ndiabetes = 21,141) and 2014 (nhypertension = 83,809; ndiabetes = 38,887), we retrospectively examined hypertension control (blood pressure

Suggested Citation

  • Lucinda B Leung & W Neil Steers & Katherine J Hoggatt & Donna L Washington, 2020. "Explaining racial-ethnic differences in hypertension and diabetes control among veterans before and after patient-centered medical home implementation," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-10, October.
    • Handle: RePEc:plo:pone00:0240306
    DOI: 10.1371/journal.pone.0240306
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    4. Washington, D.L. & Villa, V. & Brown, A. & Damron-Rodriguez, J. & Harada, N., 2005. "Racial/ethnic variations in veterans' ambulatory care use," American Journal of Public Health, American Public Health Association, vol. 95(12), pages 2231-2237.
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