Effect of Patient-Centered Medical Home on Preventive Services for Adolescents and Young Adults.
Effect of Patient-Centered Medical Home on Preventive Services for Adolescents and Young Adults.
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DOI：
10.1542/peds.2015-3813
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发表时间：
2016-06
期刊：
影响因子：
8
通讯作者：
Svetaz MV
中科院分区：
文献类型：
--
作者：
Garcia-Huidobro D;Shippee N;Joseph-DiCaprio J;O'Brien JM;Svetaz MV
确定青少年和年轻人进入以患者为中心的医疗之家（PCMH）与接受预防服务之间的关联。回顾性队列研究，包括2010年至2014年在明尼苏达州亨内平县医疗中心的PCMH诊所与医疗保健提供者进行面对面或电话接触的10至24岁亨内平县患者。暴露是入组PCMH。结果是接受（1）预防性访视;（2）流感、脑膜炎球菌和人乳头瘤病毒疫苗接种处方;（3）性传播感染筛查;（4）任何避孕药和长效可逆避孕药处方;（5）宫颈癌筛查。在一个倾向评分匹配的样本广义混合效应模型用于数据分析。共纳入21704例患者。大多数患者为美国出生的西班牙裔/拉丁裔女性，平均年龄为20.8岁。参加PCMH的患者（n = 729）更可能是拉丁美洲人，学生，并有健康保险（P <0.001）。调整后的优势比（99%可信区间）比较参加PCMHs的患者与未接受这些服务的青少年接受预防性服务的情况如下：（1）预防性访视1.10（0.93-1.29）;（2）流感0.89（0.74-1.07），脑膜炎球菌1.53（1.30-1.80）和人乳头瘤病毒疫苗接种1.53（1.28-1.84）;（3）检查性传播感染1.69（1.28-2.24）;（4）任何类型的避孕处方2.18（1.56-3.03）和长效可逆避孕药2.66（1.89-3.74）;（5）宫颈癌筛查1.14（0.87-1.48）。总体而言，参加PCMH的患者接受多种预防服务的几率更高。
To determine the association between enrollment in patient-centered medical homes (PCMHs) and the receipt of preventive services among adolescents and young adults. Retrospective cohort study including patients of Hennepin County aged 10 to 24 who had face-to-face or telephone encounters with health care providers between 2010 and 2014 at clinics with PCMHs at the Hennepin County Medical Center, Minnesota. Exposure was enrollment in PCMHs. Outcomes were receipt of (1) preventive visits; (2) prescriptions for influenza, meningococcal, and human papillomavirus vaccinations; (3) screening for sexually transmitted infections; (4) prescription of any contraceptive and long-acting reversible contraceptives; and (5) cervical cancer screening. Generalized mixed effect models in a propensity-score-matched sample were used for data analysis. Overall, 21 704 patients were included. Most patients were female, US-born, Hispanic/Latino, with an average age of 20.8 years. Patients enrolled in PCMH (n = 729) were more likely to be Latino, students, and have health insurance (P < .001). Adjusted odds ratios (99% confidence intervals) comparing the receipt of preventive services of patients enrolled in PCMHs to youth who did not receive these services were as follows: (1) preventive visits 1.10 (0.93–1.29); (2) influenza 0.89 (0.74–1.07), meningococcal 1.53 (1.30–1.80), and human papillomavirus vaccinations 1.53 (1.28–1.84); (3) screening for sexually transmitted infections 1.69 (1.28–2.24); (4) prescription of any type of contraception 2.18 (1.56–3.03) and long-acting reversible contraceptives 2.66 (1.89–3.74); and (5) cervical cancer screening 1.14 (0.87–1.48). Overall, patients enrolled in PCMHs had higher odds of receiving multiple preventive services.
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影响因子：
8
作者：
Irwin, Charles E., Jr.;Adams, Sally H.;Newacheck, Paul W.
通讯作者：
Newacheck, Paul W.
DOI：
10.7326/0003-4819-127-8_part_2-199710151-00064
发表时间：
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影响因子：
39.2
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
39.2
作者：
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DOI：
10.1515/ijamh-2014-0073
发表时间：
2016-02-01
影响因子：
--
作者：
Svetaz, Maria Veronica;Garcia-Huidobro, Diego;Allen, Michele
通讯作者：
Allen, Michele