Neighborhood Characteristics Associated With Access To Patient-Centered Medical Homes For Children

Authors, Primary Aysola,Jaya;Orav,E. J.;Ayanian,John Z.
Title Primary Neighborhood Characteristics Associated With Access To Patient-Centered Medical Homes For Children
Periodical Full Health affairs
Pub Year 2011
Volume 30
issue 11
Start Page 2080-9
Abstract Understanding social determinants of health, such as the social and physical conditions under which children and their families live, work, and play, is essential to reducing disparities and improving the quality of primary care. We studied the relationship between perceptions of neighborhood characteristics such as cohesion, safety, physical environment, and whether children receive care from a patient-centered medical home. We found that place matters. Children were less likely to have access to a medical home if they were from less socially cohesive neighborhoods, less safe neighborhoods, or neighborhoods with fewer amenities. These associations persisted even after adjustment for socioeconomic factors and proved to be more strongly associated than race and income. Our findings underscore the need to foster medical practice models that make use of trusted community partners, such as churches and schools, expand care teams to include community health workers, and identify additional ways to build collaborative relationships between providers and their patients and their families from less cohesive neighborhoods.
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PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Access to Care;Disparities
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