PMID- 25316585
OWN - NLM
STAT- MEDLINE
DCOM- 20150930
LR  - 20231104
IS  - 1525-1497 (Electronic)
IS  - 0884-8734 (Print)
IS  - 0884-8734 (Linking)
VI  - 30
IP  - 2
DP  - 2015 Feb
TI  - Primary care medical home experience and health-related quality of life among 
      adult medicaid patients with type 2 diabetes.
PG  - 161-8
LID - 10.1007/s11606-014-3033-4 [doi]
AB  - PURPOSE: To examine whether patient-reported indicators of medical home 
      performance are associated with health-related quality of life (HRQOL) among 
      adults with type 2 diabetes. METHODS: Cross-sectional survey of 540 patients with 
      Medicaid insurance and type 2 diabetes in Los Angeles County. The Primary Care 
      Assessment Tool was used to measure seven features of medical home performance. 
      The EuroQol EQ-5D-3L (EQ-5D) was used to measure HRQOL. RESULTS: Higher total 
      medical home performance was correlated with better overall HRQOL. A one-point 
      change in total medical home score was associated with a 0.06-point higher score 
      on the EQ-5D index [95 % confidence interval (CI): 0.01-0.11], which is a 
      clinically meaningful difference. The total score was also significantly 
      associated with a lower likelihood of problems on one domain of the EQ-5D (pain). 
      Longitudinality was the only medical home feature associated with better general 
      health status (ordered odds ratio = 1.78; 95 % CI: 1.04-3.03). The positive 
      relationship of medical home with the EQ-5D appears to be present predominantly 
      among women. CONCLUSION: Overall medical home experience is favorably associated 
      with HRQOL among vulnerable adult patients with type 2 diabetes. Provider efforts 
      to improve the overall medical home experience for patients may contribute to 
      improvements in HRQOL.
FAU - Stevens, Gregory D
AU  - Stevens GD
AD  - Departments of Family Medicine and Preventive Medicine, Keck School of Medicine 
      of the University of Southern California, 1000 South Fremont Ave, Unit #80, Los 
      Angeles, CA, USA, gstevens@usc.edu.
FAU - Shi, Leiyu
AU  - Shi L
FAU - Vane, Christina
AU  - Vane C
FAU - Nie, Xiaoyu
AU  - Nie X
FAU - Peters, Anne L
AU  - Peters AL
LA  - eng
GR  - R01 DK090397/DK/NIDDK NIH HHS/United States
GR  - R01DK090397/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20141015
PL  - United States
TA  - J Gen Intern Med
JT  - Journal of general internal medicine
JID - 8605834
SB  - IM
CIN - J Gen Intern Med. 2015 Feb;30(2):236. PMID: 25387442
MH  - Adolescent
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/diagnosis/psychology/*therapy
MH  - Female
MH  - *Health Status
MH  - Humans
MH  - Male
MH  - *Medicaid/standards
MH  - Middle Aged
MH  - Patient-Centered Care/*methods/standards
MH  - Primary Health Care/*methods/standards
MH  - *Quality of Life/psychology
MH  - United States/epidemiology
MH  - Young Adult
PMC - PMC4314491
EDAT- 2014/10/16 06:00
MHDA- 2015/10/01 06:00
PMCR- 2016/02/01
CRDT- 2014/10/16 06:00
PHST- 2013/05/02 00:00 [received]
PHST- 2014/08/23 00:00 [accepted]
PHST- 2014/07/31 00:00 [revised]
PHST- 2014/10/16 06:00 [entrez]
PHST- 2014/10/16 06:00 [pubmed]
PHST- 2015/10/01 06:00 [medline]
PHST- 2016/02/01 00:00 [pmc-release]
AID - 3033 [pii]
AID - 10.1007/s11606-014-3033-4 [doi]
PST - ppublish
SO  - J Gen Intern Med. 2015 Feb;30(2):161-8. doi: 10.1007/s11606-014-3033-4. Epub 2014 
      Oct 15.