A survey assessing the presence of "medical home" for adults with disabilities in Connecticut

Authors, Primary Bruder,M. B.;Mogro-Wilson,C.;Kerins,G. J.
Title Primary A survey assessing the presence of "medical home" for adults with disabilities in Connecticut
Periodical Full Connecticut medicine
Pub Year 2010
Volume 74
issue 6
Start Page 341-348
Abstract BACKGROUND: The medical home model has been recommended as the best design for healthcare management for individuals with disabilities by the American Academy of Pediatrics and the American Academy of Family Physicians. As set forth by these guidelines, a medical home contains the following elements: access to health care, usual source of care, personal doctor or nurse, referrals for specialty care, coordinated care, and person-centered care. OBJECTIVE/HYPOTHESIS: This study aimed to gather information from adults with disabilities in Connecticut, and the barriers to achieving the medical home model. The study focused on each of the components that make up the medical home model definition. METHODS: An adult with a disability was defined as a person 18 years or older with any physical or mental disability that significantly impacted one or more major life activities, as defined by the Americans with Disabilities Act. The adults with disabilities were recruited by email through a variety of list servers and flyers that were mailed to employers of people with disabilities. The study consisted of 88 adults with disabilities who were interviewed via telephone with a 54-item survey that was developed based on the research of medical home models. RESULTS: The most common types of disabilities represented were physical (51%), psychiatric (28%), and neurological (24%). The results of the study found that 22% of participants were found to have access to health care, 92% of participants reported they had a usual place they go to receive health care, 77% of participants reported having no problems with the process of referrals, 37% of participants were found to have adequate coordinated care, and 90% of participants were identified as having person-centered care. CONCLUSIONS: Overall, only 7% of participants met the criteria for all aspects of the medical home model. The conclusions drawn from this study indicate a need for increased access to health care, more efficiently designed coordinated care, and more accessible referrals to specialists for adults with disabilities, with access being the largest barrier to adequate health care.
Publisher Not Available
Place of Publication United States
Author/Address School of Medicine, Department of Pediatrics, University of Connecticut Health Center, USA.
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Outcomes
Special Population(s) Individuals with Multiple Chronic Conditions;People with Mental and Behavioral Health Issues
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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Summary of Article Rating No