Journal of Community Health

, Volume 42, Issue 2, pp 303–311 | Cite as

Medical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics

  • Kathryn E. Gunter
  • Robert S. Nocon
  • Yue Gao
  • Lawrence P. Casalino
  • Marshall H. Chin
Original Paper


We examined associations between patient-centered medical home (PCMH) characteristics and quality of diabetes care in 15 safety net clinics in five states. Surveys among clinic directors assessed PCMH characteristics using the Safety Net Medical Home Scale. Chart audits among 864 patients assessed diabetes process and outcome measures. We modeled the odds of the patient receiving performance measures as a function of total PCMH score and of PCMH subscales and covariates. PCMH characteristics had mixed, inconsistent associations with the quality of diabetes care. The PCMH model may require refinement in design and implementation to improve diabetes care among vulnerable populations.


Patient-centered medical home Quality Primary care Safety net Diabetes 



Financial support for the study was provided by The Commonwealth Fund. Dr. Chin was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (K24 DK071933 and P30 DK092949). Mr. Nocon was supported by an Agency for Healthcare Research and Quality training grant (T32 HS000084).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Kathryn E. Gunter
    • 1
  • Robert S. Nocon
    • 2
  • Yue Gao
    • 1
  • Lawrence P. Casalino
    • 3
  • Marshall H. Chin
    • 1
  1. 1.Section of General Internal Medicine, Department of MedicineUniversity of ChicagoChicagoUSA
  2. 2.Department of Public Health Sciences and Section of General Internal Medicine, Department of MedicineUniversity of ChicagoChicagoUSA
  3. 3.Department of Healthcare Policy and ResearchWeill Cornell Medical CollegeNew YorkUSA

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