TY - JOUR
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Female
KW - Health Policy
KW - Health Services Accessibility/statistics & numerical data
KW - Health Services Needs and Demand/statistics & numerical data
KW - Health Surveys
KW - Healthcare Disparities
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Male
KW - Patient-Centered Care/statistics & numerical data
KW - Preventive Health Services/statistics & numerical data
KW - Quality Improvement/statistics & numerical data
KW - Referral and Consultation/statistics & numerical data
KW - Statistics as Topic
KW - United States
AU - B. B. Strickland
AU - J. R. Jones
AU - R. M. Ghandour
AU - M. D. Kogan
AU - P. W. Newacheck
A1 - 
AB - OBJECTIVE: The medical home concept encompasses the elements of pediatric care considered essential for all children. We describe here the characteristics of children with medical homes and the relationship between presence of a medical home and selected health care outcomes by using new data from the 2007 National Survey of Children's Health (NSCH). METHODS: We used a medical home measure comprising 5 components: having a usual source of care; having a personal physician or nurse; receiving all needed referrals for specialty care; receiving help as needed in coordinating health and health-related care; and receiving family-centered care. A total of 83 448 children aged 1 to 17 years had valid data for all applicable medical home components. The NSCH is a random-digit-dial population-based telephone survey. RESULTS: In 2007, 56.9% of US children aged 1 to 17 years received care in medical homes. Younger children were more likely to have a medical home than their older counterparts. Substantial racial/ethnic, socioeconomic, and health-related disparities were present. Children who received care in medical homes were less likely to have unmet medical and dental needs and were more likely to have annual preventive medical visits. CONCLUSIONS: Approximately half of the children in the United States have access to all components of a pediatric medical home. Because the medical home is increasingly promoted as the standard for provision of high-quality comprehensive health care, these findings reinforce the need to continue and expand federal, state, and community efforts to ensure that all children have access to this model of care.
BT - Pediatrics
C5 - Medical Home
CP - 4
CY - United States
DO - 10.1542/peds.2009-3555
IS - 4
JF - Pediatrics
N2 - OBJECTIVE: The medical home concept encompasses the elements of pediatric care considered essential for all children. We describe here the characteristics of children with medical homes and the relationship between presence of a medical home and selected health care outcomes by using new data from the 2007 National Survey of Children's Health (NSCH). METHODS: We used a medical home measure comprising 5 components: having a usual source of care; having a personal physician or nurse; receiving all needed referrals for specialty care; receiving help as needed in coordinating health and health-related care; and receiving family-centered care. A total of 83 448 children aged 1 to 17 years had valid data for all applicable medical home components. The NSCH is a random-digit-dial population-based telephone survey. RESULTS: In 2007, 56.9% of US children aged 1 to 17 years received care in medical homes. Younger children were more likely to have a medical home than their older counterparts. Substantial racial/ethnic, socioeconomic, and health-related disparities were present. Children who received care in medical homes were less likely to have unmet medical and dental needs and were more likely to have annual preventive medical visits. CONCLUSIONS: Approximately half of the children in the United States have access to all components of a pediatric medical home. Because the medical home is increasingly promoted as the standard for provision of high-quality comprehensive health care, these findings reinforce the need to continue and expand federal, state, and community efforts to ensure that all children have access to this model of care.
PP - United States
PY - 2011
SN - 1098-4275; 0031-4005
SP - 604
EP - 611
EP - 
T1 - The medical home: Health care access and impact for children and youth in the United States
T2 - Pediatrics
TI - The medical home: Health care access and impact for children and youth in the United States
U1 - Medical Home
U2 - 21402643
U3 - 10.1542/peds.2009-3555
VL - 127
VO - 1098-4275; 0031-4005
Y1 - 2011
ER -