Medical Home for Adolescents: Low Attainment Rates for Those With Mental Health Problems and Other V

Authors, Primary Adams,Sally, H.;Newacheck,Paul, W.;Park,Jane;Brindis,Claire, D.
Title Primary Medical Home for Adolescents: Low Attainment Rates for Those With Mental Health Problems and Other Vulnerable Groups
Periodical Full Academic Pediatrics
Pub Year 2013
Volume 13
issue 2
Start Page 113-121
Abstract BACKGROUND: The importance of the medical home for children has been demonstrated but has not been examined comprehensively for adolescents. Adolescence is a unique period of physical, cognitive, and psychosocial changes when many mental disorders first emerge; thus, receiving care within a medical home could improve well-being. This study examines rates of medical home attainment and its components for adolescents and subgroups, including those with mental health conditions. METHODS: Utilizing the 2007 National Survey of Children's Health, we determined the following for adolescents aged 10 to 17 years (n = 45 897): 1) rates of medical home attainment and its 5 components (usual source of care, having a personal doctor, and receiving needed referrals, effective care coordination, and family-centered care); and 2) subgroup differences; gender, race/ethnicity, income, insurance, region, language spoken at home, respondent education, and the presence of mental health conditions. RESULTS: Fifty-four percent of adolescents had a past-year medical home. Rates were lower for minority youth compared to whites; lower-income and uninsured youth; those in households that are non-English speaking in which the respondent did not have some college; and those with mental health as opposed to physical health conditions (all P < .01). Patterns of disparities in the medical home components were similar, and rates were lowest for effective care coordination and family-centered care components. CONCLUSIONS: Nearly half of adolescents lacked a medical home in the past year. Even lower rates for subgroups highlight the need to increase access to comprehensive quality health care. Efforts to improve effective care coordination and family-centered care could result in higher quality of care for all children and adolescents, and specifically for disadvantaged adolescents and those with mental health conditions
Publisher Not Available
Place of Publication Not Available
Author/Address Dept. of Pediatrics, University of California, San Francisco, CA; Dept. of Pediatrics, University of California, San Francisco, CA
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Disparities
Special Population(s) Children with Special Needs;Children without Special Needs;People with Mental and Behavioral Health Issues
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