Are Components of the Medical Home Differentially Associated With Child Health Care Utilization, Hea

Authors, Primary Long,Webb, E.;Cabral,Howard, J.;Garg,Arvin
Title Primary Are Components of the Medical Home Differentially Associated With Child Health Care Utilization, Health, and Health Promoting Behavior Outcomes?
Periodical Full Clinical pediatrics
Pub Year 2013
Volume 52
issue 5
Start Page 423-432
Abstract OBJECTIVE: To determine if specific components of the medical home are differentially associated with beneficial child outcomes. METHODS: Logistic regression was used to model each component (family-centeredness, comprehensive care, and care coordination) with health care utilization, child health, and health promoting behaviors in 81 232 subjects from the 2003 National Survey of Children's Health. RESULTS: Family-centeredness was associated with increased odds of children being read to (adjusted odds ratio [aOR] = 2.16). Comprehensive care was associated with decreased outpatient (aOR = 0.70) and emergency department (aOR = 0.79) sick visits and with increased child health per parental assessment (aOR = 1.50). Care coordination was associated with increased preventive care visits (aOR = 1.41) and increased outpatient (aOR = 1.21) and emergency department (aOR = 1.24) sick visits. Stratification by special health care needs demonstrated similar findings. CONCLUSIONS: Comprehensive care was associated with improved child health and health care utilization. Prospective studies are needed to further investigate the differential impact of components of the medical home on child health.
Publisher Not Available
Place of Publication Not Available
Author/Address Boston University School of Medicine, Boston, MA, USA; Boston University School of Public Health, Boston, MA, USA
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Care Coordination;Outcomes
Special Population(s) Children with Special Needs;Children without Special Needs
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No