Characteristics of Ambulatory Care Patients and Services: A Comparison of Community Health Centers and Physicians' Offices
Characteristics of Ambulatory Care Patients and Services: A Comparison of Community Health Centers and Physicians' Offices
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DOI：
10.1353/hpu.2010.0928
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发表时间：
2010-11-01
影响因子：
1.4
通讯作者：
Zhu, Jinsheng
中科院分区：
文献类型：
--
作者：
Shi, Leiyu;Lebrun, Lydie A.;Zhu, Jinsheng
总体目标是确定社区卫生中心（CHCs）为弱势群体提供的医疗保健服务是否与主要在医生办公室（PO）为主流美国人提供的医疗保健服务相当。数据来自2006年全国门诊医疗调查。在社区卫生中心就诊的患者主要来自年轻、未投保或医疗补助保险的少数群体，而PO主要针对老年、医疗保险或私人保险的白色患者。社区保健中心服务的社区往往是低收入、低教育程度的城市地区。到社区卫生中心就诊的患者中，糖尿病、肥胖和抑郁患者所占比例更大;社区卫生中心还提供更多的晚间/周末就诊，并在就诊期间提供更多的健康教育，但每次就诊所花的时间比PO少，而且更难将患者转诊给专家。结果肯定了社区卫生中心作为弱势群体的安全网提供者的重要作用，并表明，社区卫生中心提供足够的照顾相比，PO虽然仍有改进的余地。
The overall aim was to determine whether health care delivery for vulnerable populations served by community health centers (CHCs) was comparable to care for mainstream Americans primarily seen in physicians' offices (POs). Data came from the 2006 National Ambulatory Medical Care Survey. Patient visits occurring in CHCs were largely from younger, uninsured or Medicaid-insured, minority populations, while POs catered mainly to older, Medicare- or privately-insured, White patients. Communities served by CHCs were more often in low-income, low-education, urban regions. A greater proportion of visits to CHCs were from diabetic, obese, and depressed patients; CHCs also offered more evening/weekend visits and provided more health education during visits, but spent less time per visit than POs and had more difficulty referring patients to specialists. Results affirmed the significant role of CHCs as safety-net providers for vulnerable populations, and indicated that CHCs provide adequate care compared with POs although there remains room for improvement.