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Outcomes for Children with Chronic Conditions Associated with Parent- and Provider-reported Measures of the Medical Home.
- Source :
-
Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2015 May; Vol. 26 (2), pp. 358-76. - Publication Year :
- 2015
-
Abstract
- Purpose: Assess relationships between having a patient-centered medical home (PCMH) and health care utilization among low-income children with chronic conditions using parent and practice perspectives.<br />Methods: We analyzed data from 240 publicly insured children with chronic conditions. Parents completed surveys assessing PCMH access and their child's primary care practice completed the Medical Home Index (MHI) self-assessment. Multivariate negative binomial analyses were conducted to investigate relationships between PCMH and service use.<br />Results: Parent-report of a usual source of care was associated with lower rates of emergency care (ED) encounters and hospitalizations. Practice report of higher organizational capacity (e.g., communication, staff education) was associated with lower rates of ED visits and hospitalizations. Parent report of a PCMH was positively associated with practice MHI score.<br />Conclusions: Among low-income children with chronic conditions, having a usual source of care and higher quality organizational capacity were associated with lower rates of ED visits and hospitalizations.
- Subjects :
- Child
Cross-Sectional Studies
Delivery of Health Care statistics & numerical data
Emergency Service, Hospital statistics & numerical data
Female
Health Care Surveys
Hospitalization statistics & numerical data
Humans
Male
Parents
Poverty
Primary Health Care statistics & numerical data
Retrospective Studies
Texas
Chronic Disease therapy
Patient-Centered Care
Subjects
Details
- Language :
- English
- ISSN :
- 1548-6869
- Volume :
- 26
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of health care for the poor and underserved
- Publication Type :
- Academic Journal
- Accession number :
- 25913335
- Full Text :
- https://doi.org/10.1353/hpu.2015.0051