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J Immigr Minor Health. 2012 Aug;14(4):617-25. doi: 10.1007/s10903-011-9540-z.

Do medical homes reduce disparities in receipt of preventive services between children living in immigrant and non-immigrant families?

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Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA 16802, USA.


The patient-centered medical home model has the potential to reduce healthcare disparities among immigrant children. The purpose of this study is to examine the relationship between medical home (MH) participation and receipt of preventive services among immigrant children age 0-17. The study employed extant data from the National Survey of Children's Health, 2007 (NSCH). Logistic regression analyses were employed to assess the relationship between receipt of preventive services and MH status among immigrant and non-immigrant children. Due to primarily the lack of family-centered care, only 40% of immigrant children met the medical home criteria versus approximately 62% of non-immigrant children. Immigrant children have decreased odds of receiving preventive care despite MH status. Improving the family-centered care aspect of the MH is necessary to increasing medical home access to immigrant children and the receipt of preventive services for immigrant children who meet the MH criteria.

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