Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data

This study examined racial and geographic differences in access to a usual source of care (USC) and it further explored these differences among individuals who had a USC that followed the patient-centered medical home (PCMH) model. Using cross-sectional data from the Household Component of the Medic...

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Autores principales:	Zo Ramamonjiarivelo, Delawnia Comer-HaGans, Shamly Austin, Karriem Watson, Alicia Matthews
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	access to care primary care patient-centered care patient's perception of care Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/8a36178e342c4ac39b7b2d6bedabbec7
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spelling	oai:doaj.org-article:8a36178e342c4ac39b7b2d6bedabbec72021-11-15T04:25:59ZRacial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data2372-0247https://doaj.org/article/8a36178e342c4ac39b7b2d6bedabbec72018-11-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss3/10https://doaj.org/toc/2372-0247This study examined racial and geographic differences in access to a usual source of care (USC) and it further explored these differences among individuals who had a USC that followed the patient-centered medical home (PCMH) model. Using cross-sectional data from the Household Component of the Medical Expenditure Panel Survey (2008-2013), our sample consisted of non-institutionalized US civilians ages 18-85 (n= 146,233; weighted n = 229,487,016). Our analysis included weighted descriptive statistics and weighted logistic regressions. Although 76% of the respondents had a USC, only 11% of them had a USC that followed the PCMH model. Among respondents who had a USC that followed the PCMH model, 80% were White, 13% Black, 5% Asian, and 12% were of Hispanic ethnicity. Across U.S. regions, 88% percent of those who had a USC that followed the PCMH model resided in metropolitan statistical areas (MSAs), 22% resided in the West, 26% in the Northeast, 25% in the Midwest, and 27% in the South. Results from logistic regression analyses indicated that race and ethnicity were not significant predictors of having a USC that followed the PCMH model. Northeastern U.S. residents (OR: 1.30; 95% CI:1.06-1.61) were more likely to have a USC that followed the PCMH model compared with southern residents. In conclusion, only a small percentage of respondents in our sample had a USC with the PCMH model. Further, race and ethnicity were not predictors of having a USC with the PCMH model.Zo RamamonjiariveloDelawnia Comer-HaGansShamly AustinKarriem WatsonAlicia MatthewsThe Beryl Institutearticleaccess to careprimary carepatient-centered carepatient's perception of careMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	access to care primary care patient-centered care patient's perception of care Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	access to care primary care patient-centered care patient's perception of care Medicine (General) R5-920 Public aspects of medicine RA1-1270 Zo Ramamonjiarivelo Delawnia Comer-HaGans Shamly Austin Karriem Watson Alicia Matthews Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data
description	This study examined racial and geographic differences in access to a usual source of care (USC) and it further explored these differences among individuals who had a USC that followed the patient-centered medical home (PCMH) model. Using cross-sectional data from the Household Component of the Medical Expenditure Panel Survey (2008-2013), our sample consisted of non-institutionalized US civilians ages 18-85 (n= 146,233; weighted n = 229,487,016). Our analysis included weighted descriptive statistics and weighted logistic regressions. Although 76% of the respondents had a USC, only 11% of them had a USC that followed the PCMH model. Among respondents who had a USC that followed the PCMH model, 80% were White, 13% Black, 5% Asian, and 12% were of Hispanic ethnicity. Across U.S. regions, 88% percent of those who had a USC that followed the PCMH model resided in metropolitan statistical areas (MSAs), 22% resided in the West, 26% in the Northeast, 25% in the Midwest, and 27% in the South. Results from logistic regression analyses indicated that race and ethnicity were not significant predictors of having a USC that followed the PCMH model. Northeastern U.S. residents (OR: 1.30; 95% CI:1.06-1.61) were more likely to have a USC that followed the PCMH model compared with southern residents. In conclusion, only a small percentage of respondents in our sample had a USC with the PCMH model. Further, race and ethnicity were not predictors of having a USC with the PCMH model.
format	article
author	Zo Ramamonjiarivelo Delawnia Comer-HaGans Shamly Austin Karriem Watson Alicia Matthews
author_facet	Zo Ramamonjiarivelo Delawnia Comer-HaGans Shamly Austin Karriem Watson Alicia Matthews
author_sort	Zo Ramamonjiarivelo
title	Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data
title_short	Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data
title_full	Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data
title_fullStr	Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data
title_full_unstemmed	Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data
title_sort	racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: analyses from the medical expenditure panel survey data
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/8a36178e342c4ac39b7b2d6bedabbec7
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Racial/ethnic and geographic differences in access to a usual source of care that follows the patient-centered medical home model: Analyses from the Medical Expenditure Panel Survey data

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