Geographic proximity to primary care providers as a risk-assessment criterion for quality performance measures.

ABSTRACT:

Importance

Previous studies have found a mixed association between Patient-Centered Medical Home (PCMH) designation and improvements in primary care quality indicators, including avoidable pediatric emergency department (ED) encounters. Whether these associations persist after accounting for the geographic locations of providers relative to where patients reside is unknown.

Objective

To examine the association between geographic proximity to primary care providers versus hospitals and risk of avoidable and potentially avoidable ED visits among children with pre-existing diagnosis of attention-deficit/hyperactivity disorder or asthma.

Methods

Retrospective cohort study of a panel of pediatric Medicaid claims data from the South Carolina from 2016-2018 for 2,959 benefic

SUBMITTER: Bell N 

PROVIDER: S-EPMC9447909 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature