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J Pediatr Health Care. 2013 May-Jun;27(3):202-8. doi: 10.1016/j.pedhc.2011.11.004. Epub 2012 Jan 13.

Medical home and pediatric primary care utilization among children with special health care needs.

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1
Valley Community Clinic, General Medicine, North Hollywood, CA, USA.

Abstract

INTRODUCTION:

The medical home model seeks to improve health care delivery by enhancing primary care. This study examined the relationship between the presence of a medical home and pediatric primary care office visits by children with special health care needs (CSHCN) using the data from 2005-2006 National Survey of Children with Special Healthcare Needs.

METHOD:

Survey logistic regression was used to analyze the relationship.

RESULTS:

When CSHCN age, gender, ethnicity/race, functional status, insurance status, household education, residence, and income were included in the model, CSHCN with a medical home were 1.6 times more likely to have six or more annual pediatric primary care office visits than were children without a medical home [odds ratio = 1.60, 95% confidence interval = (1.47, 1.75)]. Female CSHCN, younger CSHCN, children with public health insurance, children with severe functional limitations, and CSHCN living in rural areas also were more likely to have a larger number of visits.

DISCUSSION:

By controlling for child sociodemographic characteristics, this study provides empirical evidence about how medical home availability affects primary care utilization by CSHCN.

PMID:
22243921
DOI:
10.1016/j.pedhc.2011.11.004
[Indexed for MEDLINE]
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