Research Article

Challenges and Opportunities to Improve Cervical Cancer Screening Rates in US Health Centers through Patient-Centered Medical Home Transformation

Table 1

Comparison of all grantees and sample grantees by general health center characteristics and patient demographics.

FY12 supplemental funding grantees ()Final sample ()

Health center characteristics
% large (>10,000 patients per year)60.4%57.5%
Mean clinical FTEs/10,000 patients24.825.9
HHS regions
 % I9.3%8.8%
 % II9.3%8.8%
 % III9.6%8.8%
 % IV15.5%15.0%
 % V13.8%13.8%
 % VI10.9%10.0%
 % VII5.3%6.3%
 % VIII4.9%5.0%
 % IX13.8%15.0%
 % X7.5%8.8%
% urban52.1%51.3%
Pap test quartile
 1 (highest 25% screening rate)24.2%21.3%
 227.2%26.3%
 326.3%28.8%
 4 (lowest 25% screening rate)22.1%23.8%
% PCMH recognized23.5%23.8%
Patient demographics
>10% homeless6.7%10.0%
>10% agricultural Worker6.1%7.5%
>10% uninsured22.5%23.8%
>10% Hispanic/Latino33.9%32.5%
>10% Asian5.1%6.3%
>10% African American29.4%26.3%
>10% best served in language other than English17.4%18.8%

FY: fiscal year. FTEs: full-time equivalents. HHS: Health and Human Services. PCMH: patient-centered medical home.
HHS regions: US Department of Health and Human Service divided the country into 10 regions with offices to oversee regional operations.