TY - JOUR
KW - Adolescent
KW - Child
KW - Child Health Services/organization & administration
KW - Child, Preschool
KW - Counseling/organization & administration
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Infant
KW - Logistic Models
KW - Male
KW - Mass Screening/organization & administration
KW - Oligodendroglioma
KW - Patient-Centered Care/organization & administration
KW - Preventive Health Services/organization & administration
KW - United States
AU - M. A. Romaire
AU - J. F. Bell
A1 - 
AB - OBJECTIVE: Little is known about the role of the medical home in promoting essential preventive health care services in the general pediatric population. This study examined associations between having a medical home and receipt of health screenings and anticipatory guidance. METHODS: We conducted a cross-sectional analysis of the 2004-2006 Medical Expenditure Panel Survey (MEPS). Our sample included 21 055 children aged 0 to 17 years who visited a health care provider in the year prior to the survey. A binary indicator of the medical home was developed from 22 questions in MEPS, reflecting 4 of the 7 American Academy of Pediatrics' recommended components of the medical home: accessible, family-centered, comprehensive, and compassionate care. Multivariable logistic regression was used to examine the association between the medical home and receipt of specific health screenings and anticipatory guidance, controlling for confounding variables. RESULTS: Approximately 49% of our study sample has a medical home. The medical home, defined when the usual source of care is a person or facility, is significantly associated with 3 health screenings (ie, weight, height, and blood pressure) and several anticipatory guidance topics (ie, advice about dental checkups, diet, exercise, car and bike safety), with odds ratios ranging from 1.26 to 1.54. CONCLUSIONS: The medical home is associated with increased odds of children receiving some health screenings and anticipatory guidance. The medical home may provide an opportunity to improve the delivery of these services for children.
BT - Academic pediatrics
C5 - Financing & Sustainability; Medical Home
CP - 5
CY - United States
DO - 10.1016/j.acap.2010.06.010
IS - 5
JF - Academic pediatrics
N2 - OBJECTIVE: Little is known about the role of the medical home in promoting essential preventive health care services in the general pediatric population. This study examined associations between having a medical home and receipt of health screenings and anticipatory guidance. METHODS: We conducted a cross-sectional analysis of the 2004-2006 Medical Expenditure Panel Survey (MEPS). Our sample included 21 055 children aged 0 to 17 years who visited a health care provider in the year prior to the survey. A binary indicator of the medical home was developed from 22 questions in MEPS, reflecting 4 of the 7 American Academy of Pediatrics' recommended components of the medical home: accessible, family-centered, comprehensive, and compassionate care. Multivariable logistic regression was used to examine the association between the medical home and receipt of specific health screenings and anticipatory guidance, controlling for confounding variables. RESULTS: Approximately 49% of our study sample has a medical home. The medical home, defined when the usual source of care is a person or facility, is significantly associated with 3 health screenings (ie, weight, height, and blood pressure) and several anticipatory guidance topics (ie, advice about dental checkups, diet, exercise, car and bike safety), with odds ratios ranging from 1.26 to 1.54. CONCLUSIONS: The medical home is associated with increased odds of children receiving some health screenings and anticipatory guidance. The medical home may provide an opportunity to improve the delivery of these services for children.
PB - Academic Pediatric Association. Published by Elsevier Inc. All rights reserved
PP - United States
PY - 2010
SN - 1876-2867
SP - 338
EP - 345
EP - 
T1 - The medical home, preventive care screenings, and counseling for children: Evidence from the Medical Expenditure Panel Survey
T2 - Academic pediatrics
TI - The medical home, preventive care screenings, and counseling for children: Evidence from the Medical Expenditure Panel Survey
U1 - Financing & Sustainability; Medical Home
U2 - 20675211
U3 - 10.1016/j.acap.2010.06.010
VL - 10
VO - 1876-2867
Y1 - 2010
ER -