The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.

The Journal of Ambulatory Care Management is a peer-reviewed journal that offers timely and practical information on the most significant developments and issues in the field of ambulatory care management.

《Journal of Ambulatory Care Management》是一本经过同行评审的期刊，提供关于门诊护理管理领域内最重要的发展和问题的及时、实用的信息。

Journal of Ambulatory Care Management

Suicide remains a leading cause of death for youth nationally, with access to mental health care continuing to be an emergent care imperative for health care organizations that are struggling to triage and provide critically needed mental health services to the communities they serve. Administrative inefficiencies present a potentially life-threatening delay in access to children seeking mental health care. Health care organizations have successfully used evidence-based process improvement methodologies to improve efficiency and reduce waste, including the Lean Six Sigma methodology. This study highlights the successful use of Lean Six Sigma to create an ambulatory scheduling process that significantly reduced waitlist times and increased timeliness of access to mental health care in a large pediatric hospital.

James Murphy

Tiffany Banks

Reducing Wait Times in Child and Adolescent Ambulatory Mental Health

减少儿童和青少年门诊心理健康等待时间

Using 2012–2018 Medicare claims and health center data, we identified factors associated with variation in rates of hospital care among Medicare–Medicaid dual enrollees receiving primary care at health centers. In our sample ( n = 5961 health center-years), we found no evidence that patient-centered medical home designation or other modifiable health center characteristics were associated with reductions in hospital care use, which depends more on health center patient mix. Thus, policymakers should target efforts to health centers serving the most disadvantaged and marginalized communities.

Brad Wright

Brianna Lombardi

Jill Akiyama

Andrew J. Potter

Lindsay M. Sabik

Grace G. Stehlin

Amal N. Trivedi

Fredric D. Wolinsky

Health Center Characteristics Associated With Hospital Care Among Medicare-Medicaid Dual Enrollees

医疗保险-医疗补助双重参保者中与医院护理相关的健康中心特征

Megan B. Cole

E. Lee Rosenthal

Durrell J. Fox

J Ambul Care Manage

Access, Equity, and Provider Characteristics Across a Spectrum of Health Care Settings

健康保健环境中各层次的获取、公平及提供者特征

The Urban Indian Health Program was created by the Indian Health Service to establish a culturally appropriate health care delivery model for Native Americans who relocate to urban areas. The 31 community-based Indian Health Programs under the Office of Urban Indian Health Program vary in culture, socioeconomic, and patient mix. Strategic decision-making by these community-based Indian Health Programs depends upon various factors, including leaders’ characteristics, organizational characteristics, and service area market factors.

G Grant Tribble

Nancy M Borkowski

Phaedra S Corso

Allyson G Hall

Kristine R Hearld

The Relationship Between Leadership Characteristics and Services Provided Among IHS Urban Indian Health Programs

城市印第安人健康计划中领导特征与服务提供之间的关系

Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) ( P &lt; .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 ( P &lt; .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 ( P &lt; .0001) more per year.

Abbreviation	J. Ambul. Care. Manage.
Journal Impact	1.45
Quartiles(Global)	HEALTH CARE SCIENCES & SERVICES(Q3)

ISSN	0148-9917, 1550-3267
h-index	46

Publication Information	Publisher: Lippincott Williams and Wilkins Ltd.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1978，Proportion of original research papers: 96.97%，Self Citation Rate:0.00%， Gold OA Rate: 11.24%

Journal of Ambulatory Care Management

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Reducing Wait Times in Child and Adolescent Ambulatory Mental Health

Health Center Characteristics Associated With Hospital Care Among Medicare-Medicaid Dual Enrollees

Access, Equity, and Provider Characteristics Across a Spectrum of Health Care Settings

The Relationship Between Leadership Characteristics and Services Provided Among IHS Urban Indian Health Programs

Signals in Health Inequity

Reducing Wait Times in Child and Adolescent Ambulatory Mental Health

The Relationship Between Leadership Characteristics and Services Provided Among IHS Urban Indian Health Programs

Health Center Characteristics Associated With Hospital Care Among Medicare-Medicaid Dual Enrollees

Access, Equity, and Provider Characteristics Across a Spectrum of Health Care Settings

Signals in Health Inequity