Preventive Counseling Services during Primary Care Visits: A Comparison of Health Centers versus Other Physician Offices

被引：3

作者：

Shi, Leiyu ^{[1
]}

Lebrun-Harris, Lydie A. ^{[2
]}

Chen, Li-Ru ^{[3
]}

Parasuraman, Sarika Rane ^{[1
]}

Zhu, Jinsheng ^{[1
]}

Ngo-Metzger, Quyen ^{[4
]}

Sripipatana, Alek

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Ctr Primary Care Policy, Baltimore, MD USA

[2] US Dept Hlth & Human Serv, Hlth Resources & Serv Adm, Off Planning Anal & Evaluat, Rockville, MD USA

[3] Da Yeh Univ, Coll Management, Dacun Changhua, Taiwan

[4] Ctr Primary Care Prevent & Clin Partnerships, US Dept Hlth & Human Serv, Agcy Healthcare Res & Qual, Rockville, MD USA

来源：

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2015年 / 26卷 / 02期

关键词：

Disparities; preventive care; safety-net providers; health centers; HOSPITAL OUTPATIENT DEPARTMENTS; DISPARITIES; INSURANCE; ACCESS; DELIVERY; QUALITY; WOMEN;

D O I：

10.1353/hpu.2015.0028

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：

We compared preventive counseling services provided by health centers versus other physician offices. Cross-sectional data came from the 2008 National Ambulatory Medical Care Survey, including 25,177 patient visits in physician offices and 3,345 patient visits in health centers. Despite serving disproportionately more vulnerable patients, health centers provided comparable rates of preventive counseling services, compared with other physician offices: health education (39% vs. 36%), disease management (34% vs. 41%), asthma education (21% vs. 13%), tobacco education (19% for both), and weight reduction education (6% vs. 9%) (p>.05 for all). Adjusted analyses showed no association between health care setting and preventive counseling.

引用

页码：519 / 535

页数：17

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