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A model for evaluating the delivery of pediatric primary care services
L Rosenbluth1, M A Morehead, M Grossi
1Medical and Health Research Association of New York City, Inc., NY 10013.
Insights
This study evaluates Pediatric Resource Centers (PRCs) for high-risk children in NYC. The assessment model identified varying performance levels, highlighting areas needing support for improved primary care delivery.
Area of Science:
- Pediatric Healthcare Evaluation
- Public Health Administration
- Healthcare Management
Background:
- Pediatric Resource Centers (PRCs) in New York City provide essential primary care to high-risk children.
- These centers are funded by the State and administered by the Medical and Health Research Association of New York City.
Purpose of the Study:
- To describe an evaluation model for assessing the functioning of Pediatric Resource Centers.
- To identify key performance metrics for primary care centers serving high-risk pediatric populations.
Main Methods:
- Utilized a comprehensive evaluation model assessing accessibility, availability, accountability, productivity, patient volumes, continuity, coordination, and comprehensiveness.
- Data collection involved the PRC data reporting system, site visits, chart reviews, and fiscal reports.
Main Results:
- Significant variability was observed in center functioning and compliance with assessment metrics, both within and between centers.
- The evaluation model effectively identified problem areas within individual centers.
Conclusions:
- The evaluation model is effective in highlighting areas for improvement in Pediatric Resource Centers.
- Findings assist the funding agency in directing support to program areas requiring greater attention for enhanced pediatric primary care.
Abstract:
This evaluation model describes the components used to assess the functioning of Pediatric Resource Centers which provide primary care to high risk children in New York City. These centers are administered by the Medical and Health Research Association of New York City and are funded by the State through the New York City Department of Health. Measurements are made of: accessibility, availability, accountability, productivity and patient volumes, continuity, coordination, and comprehensiveness. Data is collected from the PRC data reporting system, site visits, chart reviews, and fiscal reports. The findings vary considerably among the different centers with compliance to the various assessments, differing not only within a given center but between centers. In spite of some methodological limitations, it is felt that these measurements are effective in pointing out problem areas in the centers and are helpful to the funding agency in focusing on program areas in need of greater support.