Relationship Between Presence of a Reported Medical Home and Emergency Department Use Among Children

Authors, Primary Diedhiou,Abdoulaye;Probst,Janice C.;Hardin,James W.;Martin,Amy B.;Xirasagar,Sudha
Title Primary Relationship Between Presence of a Reported Medical Home and Emergency Department Use Among Children With Asthma
Periodical Full Medical Care Research & Review
Pub Year 2010
Volume 67
issue 4
Start Page 450-475
Abstract This study examined data from the 2005-2006 National Survey of Children with Special Health Care Needs to assess the relationship among children with asthma between a reported medical home and emergency department (ED) use. The authors used 21 questions to measure 6 medical home components: personal doctor/nurse, family-centered, compassionate, culturally effective and comprehensive care, and effective care coordination. Weighted zero-inflated Poisson regression analyses assessed the independent effects of having a medical home on annual number of child ED visits while controlling for child and parental characteristics, and the differential likelihood of securing a medical home. Nearly half (49.9%) of asthmatic children had a medical home. Receiving primary care in a medical home was associated with fewer ED visits (incidence rate ratio = 0.93; 95% confidence interval = 0.89-0.97). A medical home in which physicians and parents share responsibility for ensuring that children have access to needed services may improve child and family outcomes for children with asthma.
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Reference Type(s) Journal Article
Topic Tag(s) Patient-Centered Care;Care Coordination;Evaluation Methods and Approaches;Outcomes
Special Population(s) Children with Special Needs
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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