Health Center Characteristics Associated With Hospital Care Among Medicare-Medicaid Dual Enrollees

被引：0

作者：

Wright, Brad ^{[1
]}

Lombardi, Brianna ^{[2
]}

Akiyama, Jill ^{[2
]}

Potter, Andrew J. ^{[3
]}

Sabik, Lindsay M. ^{[4
]}

Stehlin, Grace G. ^{[2
]}

Trivedi, Amal N. ^{[5
]}

Wolinsky, Fredric D. ^{[6
]}

机构：

[1] Univ South Carolina, 915 Greene st, Columbia, SC 29208 USA

[2] Univ North Carolina Chapel Hill, Chapel Hill, NC USA

[3] Calif Dept Hlth Care Serv, Sacramento, CA USA

[4] Univ Pittsburgh, Pittsburgh, PA USA

[5] Brown Univ, Providence, RI USA

[6] Univ Iowa, Iowa City, IA USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2025年 / 48卷 / 01期

基金：

美国国家卫生研究院;

关键词：

dual enrollees; health centers; hospital care; medicaid; medicare; EMERGENCY-DEPARTMENT VISITS; QUALITY-OF-CARE; ACCESS; ADMISSIONS; DISPARITIES; SERVICES; RACISM;

D O I：

10.1097/JAC.0000000000000517

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Using 2012-2018 Medicare claims and health center data, we identified factors associated with variation in rates of hospital care among Medicare-Medicaid dual enrollees receiving primary care at health centers. In our sample (n = 5961 health center-years), we found no evidence that patient-centered medical home designation or other modifiable health center characteristics were associated with reductions in hospital care use, which depends more on health center patient mix. Thus, policymakers should target efforts to health centers serving the most disadvantaged and marginalized communities.

引用

页码：2 / 14

页数：13