TY - JOUR
KW - Adolescent
KW - Anxiety/epidemiology/prevention & control/therapy
KW - Attention Deficit Disorder with Hyperactivity/epidemiology/prevention & control/therapy
KW - Attitude to Health
KW - Autistic Disorder/epidemiology/prevention & control/therapy
KW - Child
KW - Child Behavior Disorders/epidemiology/prevention & control/therapy
KW - Child, Preschool
KW - Comorbidity
KW - Cross-Sectional Studies
KW - Depression/epidemiology/prevention & control/therapy
KW - Female
KW - Humans
KW - Logistic Models
KW - Male
KW - Patient Acceptance of Health Care
KW - Patient-Centered Care
KW - Physician-Patient Relations
KW - Prevalence
KW - Primary Health Care/methods
AU - R. C. Sheldrick
AU - E. C. Perrin
A1 - 
AB - OBJECTIVES: Whether medical services received by children and youth with behavioral health conditions are consistent with a Medical Home has not been systematically studied. The objectives of this study were to examine the variation among four behavioral health conditions in regard to services related to the Medical Home. METHODS: Cross-sectional analyses of the 2003 National Survey of Children's Health were conducted. Multiple logistic regression analyses tested the impact of behavioral health conditions on medical needs, on Medical Home components, and on likelihood of having a Medical Home overall. RESULTS: Autism, Depression/Anxiety, and Behavior/Conduct problems were associated with reduced likelihood of having a Medical Home, whereas Attention-Deficit Hyperactivity Disorder was associated with increased likelihood. All health conditions predicted increased access to a primary care physician (PCP) and a preventive visit in the past year. However, all were also associated with higher needs for specialty care and all behavioral health conditions except Attention-Deficit Hyperactivity Disorder were associated with difficulties accessing this care. CONCLUSIONS: A detailed examination of the receipt of services among children and youth with behavioral health conditions reveals two primary reasons why such care is less likely to be consistent with a Medical Home model: (1) parents are more likely to report needing specialty care; and (2) these needs are less likely to be met. These data suggest that the reason why services received by children and youth with behavioral health conditions are not consistent with the Medical Home has more to do with difficulty accessing specialty care than with problems accessing quality primary care.
BT - Journal of developmental and behavioral pediatrics : JDBP
C5 - Medical Home
CP - 2
CY - United States
DO - 10.1097/DBP.0b013e3181cdabda
IS - 2
JF - Journal of developmental and behavioral pediatrics : JDBP
N2 - OBJECTIVES: Whether medical services received by children and youth with behavioral health conditions are consistent with a Medical Home has not been systematically studied. The objectives of this study were to examine the variation among four behavioral health conditions in regard to services related to the Medical Home. METHODS: Cross-sectional analyses of the 2003 National Survey of Children's Health were conducted. Multiple logistic regression analyses tested the impact of behavioral health conditions on medical needs, on Medical Home components, and on likelihood of having a Medical Home overall. RESULTS: Autism, Depression/Anxiety, and Behavior/Conduct problems were associated with reduced likelihood of having a Medical Home, whereas Attention-Deficit Hyperactivity Disorder was associated with increased likelihood. All health conditions predicted increased access to a primary care physician (PCP) and a preventive visit in the past year. However, all were also associated with higher needs for specialty care and all behavioral health conditions except Attention-Deficit Hyperactivity Disorder were associated with difficulties accessing this care. CONCLUSIONS: A detailed examination of the receipt of services among children and youth with behavioral health conditions reveals two primary reasons why such care is less likely to be consistent with a Medical Home model: (1) parents are more likely to report needing specialty care; and (2) these needs are less likely to be met. These data suggest that the reason why services received by children and youth with behavioral health conditions are not consistent with the Medical Home has more to do with difficulty accessing specialty care than with problems accessing quality primary care.
PP - United States
PY - 2010
SN - 1536-7312; 0196-206X
SP - 92
EP - 99
EP - 
T1 - Medical home services for children with behavioral health conditions
T2 - Journal of developmental and behavioral pediatrics : JDBP
TI - Medical home services for children with behavioral health conditions
U1 - Medical Home
U2 - 20110825
U3 - 10.1097/DBP.0b013e3181cdabda
VL - 31
VO - 1536-7312; 0196-206X
Y1 - 2010
ER -