Determine, using fuzzy set qualitative comparative analysis (fs/), the relationship between patient‐centered medical home () systems and quality in 21 recognized medical homes.
Data Sources/Study Setting
Primary data collected in 2009, including measures of optimal diabetes care (), preventive services up‐to‐date (), patient experience (), survey data assessing PCMH capabilities (‐), and other clinic characteristics.
Cross‐sectional study identifying associations between ‐ domains, demographic, socioeconomic, and co‐morbidity measures, and quality outcomes.
Data Collection/Extraction Methods
PPC‐RS scores were obtained by surveying clinic leaders. and scores were obtained from provider performance data. data were obtained from patient surveys. Demographic, socioeconomic, and co‐morbidity data were obtained from and census data.
fs/ identified associations between all three outcomes and capabilities: and team‐based care; and preventive services systems; and all three outcomes and provider performance reporting systems. Previous statistical analysis of this data had failed to identify these relationships.
fs/ identified important associations that were overlooked using conventional statistics in a small‐N health services data set. capabilities are associated with quality outcomes.
