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. 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. 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. 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.
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. 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. 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. 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.
Authors: Jeanne W McAllister; W Carl Cooley; Jeanne Van Cleave; Alexy Arauz Boudreau; Karen Kuhlthau Journal: Ann Fam Med Date: 2013 May-Jun Impact factor: 5.166
Authors: Jean L Raphael; Tiffany L Rattler; Marc A Kowalkowski; Brigitta U Mueller; Thomas P Giordano Journal: Pediatr Blood Cancer Date: 2012-04-22 Impact factor: 3.167
Authors: Joseph S Zickafoose; Sarah J Clark; Joseph W Sakshaug; Lena M Chen; John M Hollingsworth Journal: Pediatrics Date: 2013-02-04 Impact factor: 7.124
Authors: Samantha A Barry; Lena Teplitsky; David V Wagner; Amit Shah; Brian T Rogers; Michael A Harris Journal: Curr Diab Rep Date: 2017-04 Impact factor: 4.810
Authors: David Y Ming; Kelley A Jones; Michelle J White; Jessica E Pritchard; Bradley G Hammill; Christopher Bush; George L Jackson; Sudha R Raman Journal: Matern Child Health J Date: 2022-10-05
Authors: Erik R Hoefgen; Annie L Andrews; Troy Richardson; Matthew Hall; John M Neff; Michelle L Macy; Jessica L Bettenhausen; Samir S Shah; Katherine A Auger Journal: Pediatrics Date: 2017-08-01 Impact factor: 7.124
Authors: Michele C Jackson; Alejandra Vasquez; Oluwafemi Ojo; Alexandra Fialkow; Sarah Hammond; Coral M Stredny; Annalee Antonetty; Tobias Loddenkemper Journal: Int J Integr Care Date: 2022-03-31 Impact factor: 5.120