Correlates of Patient-Centered Medical Home Recognition in School-Based Health Centers.
BACKGROUND
The patient-centered medical home (PCMH) is promoted as a way to improve access to care, health care outcomes, and control costs. The organizational, environmental, and patient characteristics associated with school-based health centers (SBHCs) obtaining PCMH recognition is currently unknown. A multitheoretical approach was used to explore the correlates of formal PCMH recognition in SBHCs.


METHODS
The 2013-2014 National Census of School-Based Health Centers was used as the primary data source for this analysis. Multivariable logistic regression was used to assess the odds of an SBHC obtaining any type of PCMH recognition, and obtaining national PCMH recognition.


RESULTS
Only 29% of SBHCs had received any type of recognition as a PCMH and 17% reported receiving national-level recognition. School-based health centers that were managed care preferred providers, received Health Resources and Services Administration SBHC Capital Funding, and based in schools without adolescents had greater odds of both types of PCMH recognition outcomes. High levels of revenue from patient billing and more staff were also associated with national PCMH recognition.


CONCLUSIONS
Financial and personnel resources are needed for national-level PCMH recognition, and managed care is supportive of PCMH implementation. Efforts should be made to increase medical home activity in SBHCs that serve adolescents.
['Gregg|Abbey|A|0000-0001-5288-028X', 'Chen|Li-Wu|LW|', 'Kim|Jungyoon|J|']
D002568:Certification D002648:Child D002675:Child, Preschool D005260:Female D006297:Health Services Accessibility D006801:Humans D007348:Insurance, Health D016015:Logistic Models D008297:Male D018802:Patient-Centered Care D012572:School Health Services D012959:Socioeconomic Factors D011795:Surveys and Questionnaires D014481:United States
child and adolescent health health policy health service applications organization and administration of school health programs primary care school-based clinics