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Table 6 Odds of Preventive Care and Healthcare Quality by Provider Type

From: Associations between the patient-centered medical home and preventive care and healthcare quality for non-elderly adults with mental illness: A surveillance study analysis

Preventive Care/Healthcare Quality Measure

At Least 1 Year

Both Years

Unadjusted OR OR (95 % CI)

Adjusted OR (95 % CI)

Unadjusted OR (95 % CI)

Adjusted OR (95 % CI)

Participants with a Non-PCMH USC Compared to Participants without a USC

 Healthcare rating

1.50 (1.07, 2.11)*

1.29 (0.90, 1.84)

2.13 (1.67, 2.71)***

1.96 (1.52, 2.53)****

 Cervical cancer screening

2.33 (1.50, 3.64)***

2.33 (1.41, 3.87)****

1.92 (1.48, 2.51)***

1.96 (1.46, 2.63)****

 Breast cancer screening

-

-

2.95 (1.99, 4.36)***

2.19 (1.45, 3.30)****

 Current smoking

0.55 (0.46, 0.66)***

0.66 (0.53, 0.82)****

0.62 (0.53, 0.73)***

0.77 (0.64, 0.93)

 Smoking cessation advice

3.83 (2.42, 6.06)***

2.87 (1.75, 4.70)****

2.33 (1.71, 3.19)***

1.81 (1.30, 2.52)****

 Flu shot

3.35 (2.70, 4.15)***

1.88 (1.46, 2.43)****

3.04 (2.58, 3.59)***

1.83 (1.54, 2.18)****

Participants who Received Care Consistent with the PCMH Compared to Participants without a USC

 Healthcare rating

2.29 (1.57, 3.35)***

2.29 (1.53, 3.41)****

4.35 (2.93, 6.45)***

4.39 (2.82, 6.84)****

 Cervical cancer screening

-

-

2.49 (1.35, 4.58)**

2.35 (1.23, 4.46)

 Current smoking

0.46 (0.37, 0.57)***

0.73 (0.54, 0.99)

0.55 (0.40, 0.76)***

0.86 (0.57, 1.29)

 Flu shot

4.16 (3.23, 5.36)***

3.00 (2.24, 4.04)****

3.63 (2.63, 5.00)***

2.28 (1.57, 3.31)****

Participants who Received Care Consistent with the PCMH Compared to Participants with a Non-PCMH USC

 Healthcare rating

1.53 (1.27, 1.84)***

1.46 (1.20, 1.79)****

2.04 (1.52, 2.74)***

2.07 (1.50, 2.86)****

 Cervical cancer screening

1.95 (1.15, 3.31)*

1.65 (0.96, 2.83)

1.29 (0.73, 2.30)

1.10 (0.61, 1.99)

 Breast cancer screening

1.46 (0.94, 2.29)

1.23 (0.75, 2.00)

1.06 (0.53, 2.10)

0.82 (0.38, 1.75)

 Colorectal cancer screening

1.35 (0.97, 1.87)

1.24 (0.88, 1.75)

1.13 (0.67, 1.90)

1.08 (0.61, 1.91)

 Current smoking

0.83 (0.70, 0.99)*

0.98 (0.81, 1.20)

0.88 (0.63, 1.23)

1.07 (0.74, 1.54)

 Smoking cessation advice

1.12 (0.71, 1.75)

1.15 (0.74, 1.78)

1.56 (0.81, 3.02)

1.61 (0.84, 3.10)

 Flu shot

1.24 (1.07, 1.44)**

1.22 (1.04, 1.43)

1.19 (0.88, 1.61)

1.27 (0.91, 1.77)

Participants who Received Care Consistent with the PCMH Compared to Participants who Did Not Receive Care Consistent with the PCMHa

 Cervical cancer screening

2.19 (1.29, 3.71)**

1.78 (1.04, 3.05)

-

-

 Breast cancer screening

1.67 (1.07, 2.59)*

1.36 (0.85, 2.18)

1.25 (0.63, 2.47)

0.90 (0.40, 2.00)

 Colorectal cancer screening

1.47 (1.06, 2.04)*

1.28 (0.90, 1.81)

1.34 (0.81, 2.24)

1.31 (0.75, 2.28)

 Smoking cessation advice

1.37 (0.89, 2.11)

1.42 (0.94, 2.16)

1.99 (1.04, 3.79)*

1.87 (0.98, 3.57)

 Foot exam

1.05 (0.62, 1.77)

1.03 (0.60, 1.76)

-

-

 Eye exam

1.23 (0.62, 2.47)

1.06 (0.52, 2.16)

-

-

 Follow-up after hospitalization for mental illness

0.50 (0.20, 1.24)

0.47 (0.20, 1.10)

-

-

  1. *p < 0.05; **p < 0.01; ***p < 0.001
  2. P-value corrected for multiple comparisons; corrected p-value = 0.0018; ***p < 0.0018
  3. a Participants who did not receive care consistent with the PCMH included participants with a non-PCMH USC and participants without a USC