Correlates of Patient-Centered Medical Home Recognition in School-Based Health Centers

Abbey Gregg, Li-Wu Chen, Jungyoon Kim

Research output: Contribution to journalArticle

Abstract

BACKGROUND: The patient-centered medical home (PCMH) is promoted as a way to improve access to care, health care outcomes, and control costs. The organizational, environmental, and patient characteristics associated with school-based health centers (SBHCs) obtaining PCMH recognition is currently unknown. A multitheoretical approach was used to explore the correlates of formal PCMH recognition in SBHCs. METHODS: The 2013-2014 National Census of School-Based Health Centers was used as the primary data source for this analysis. Multivariable logistic regression was used to assess the odds of an SBHC obtaining any type of PCMH recognition, and obtaining national PCMH recognition. RESULTS: Only 29% of SBHCs had received any type of recognition as a PCMH and 17% reported receiving national-level recognition. School-based health centers that were managed care preferred providers, received Health Resources and Services Administration SBHC Capital Funding, and based in schools without adolescents had greater odds of both types of PCMH recognition outcomes. High levels of revenue from patient billing and more staff were also associated with national PCMH recognition. CONCLUSIONS: Financial and personnel resources are needed for national-level PCMH recognition, and managed care is supportive of PCMH implementation. Efforts should be made to increase medical home activity in SBHCs that serve adolescents.

Original languageEnglish (US)
Pages (from-to)830-838
Number of pages9
JournalJournal of School Health
Volume88
Issue number11
DOIs
StatePublished - Nov 2018

Fingerprint

Patient-Centered Care
School Health Services
health
school
managed care
Managed Care Programs
adolescent
school administration
Health Centers
Capital Financing
United States Health Resources and Services Administration
resources
Information Storage and Retrieval
revenue
personnel
census
Censuses
Home Care Services
funding
logistics

Keywords

  • child and adolescent health
  • health policy
  • health service applications
  • organization and administration of school health programs
  • primary care
  • school-based clinics

ASJC Scopus subject areas

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health

Cite this

Correlates of Patient-Centered Medical Home Recognition in School-Based Health Centers. / Gregg, Abbey; Chen, Li-Wu; Kim, Jungyoon.

In: Journal of School Health, Vol. 88, No. 11, 11.2018, p. 830-838.

Research output: Contribution to journalArticle

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