PT - JOURNAL ARTICLE AU - Shi, Leiyu AU - Lebrun-Harris, Lydie A. AU - Parasuraman, Sarika Rane AU - Zhu, Jinsheng AU - Ngo-Metzger, Quyen TI - The Quality of Primary Care Experienced by Health Center Patients AID - 10.3122/jabfm.2013.06.130062 DP - 2013 Nov 01 TA - The Journal of the American Board of Family Medicine PG - 768--777 VI - 26 IP - 6 4099 - http://www.jabfm.org/content/26/6/768.short 4100 - http://www.jabfm.org/content/26/6/768.full SO - J Am Board Fam Med2013 Nov 01; 26 AB - Background: We investigated the quality of the primary care experienced by health center (HC) patients and investigated whether race/ethnicity and insurance coverage were significantly associated with patients' experiences. Methods: Cross-sectional data came from the 2009 Health Center Patient Survey. Outcomes included 10 measures of patients' experiences with primary care domains, including: (1) accessibility, (2) communication, (3) comprehensiveness, and (4) coordination of care. Results: Patients who received care at HCs reported high-quality primary care, particularly regarding accessibility and communication. For example, more than 94% of patients reported that their HC location was convenient, and more than 94% reported that their provider adequately explained what they wanted to know. After adjusting for sociodemographic characteristics, few significant racial/ethnic and insurance-related disparities were observed. In the domains of comprehensiveness and coordination, insured patients generally had better experiences than uninsured patients. For instance, Medicaid-insured patients had higher odds of reporting that HC staff helped them arrange medical appointments at other health care settings than uninsured patients (odds ratio, 2.04; 95% confidence interval, 1.35–3.09). Conclusions: As safety-net providers for vulnerable populations, HCs provide high-quality primary care and do not exhibit the extent of disparities that exist in other US health care settings. Continued efforts are necessary to address insurance-related disparities, particularly among uninsured patients.