Beal Anne, Hernandez Susan
The Aetna Foundation, Hartford, Conn., USA.
J Health Care Poor Underserved. 2010 May;21(2):591-605. doi: 10.1353/hpu.0.0305.
To examine the importance of having a regular provider in community health centers (CHCs) for high quality care.
Analyses of a national survey-the Commonwealth Fund 2006 Health care Quality Survey-among patients with a private doctor's (PMD) office (n=1,743) or CHC (n=275) as their regular source of care. Outcomes include prevention measures, and measures of patient experience.
Patients at CHCs are less likely than patients who use a PMD to report having a regular doctor (53% vs. 95%, p<or=.001). They also report lower rates for all the preventive care and patient experience measures. However, the differences in quality are eliminated when CHC patients have a regular provider.
When CHC patients have a regular provider, they receive higher quality care. Policymakers should support expansions of the CHC health care workforce to ensure patients have access to a regular provider, which leads to higher quality care.
探讨在社区卫生中心（CHC）拥有固定医疗服务提供者对于高质量医疗服务的重要性。
对一项全国性调查——英联邦基金2006年医疗质量调查——进行分析，该调查对象为将私人医生诊所（PMD）（n = 1,743）或社区卫生中心（n = 275）作为其常规医疗服务来源的患者。结果包括预防措施以及患者体验指标。
与使用私人医生诊所的患者相比，社区卫生中心的患者报告称有固定医生的可能性较小（53% 对 95%，p≤0.001）。他们在所有预防保健和患者体验指标方面的报告率也较低。然而，当社区卫生中心的患者有固定医疗服务提供者时，质量差异就会消除。
当社区卫生中心的患者有固定医疗服务提供者时，他们能获得更高质量的医疗服务。政策制定者应支持扩大社区卫生中心的医疗服务人员队伍，以确保患者能够获得固定医疗服务提供者，从而实现更高质量的医疗服务。
