Literature DB >> 27818445

The Medical Home Experience of Low-income Children with Non-Urgent Encounters in Acute Care Settings.

Jean L Raphael, Carl Tapia, Leah S Fischer, John McKeever, Angelo P Giardino.   

Abstract

PURPOSE: Assess relationships between having a medical home and health care-seeking behavior attitudes among parents of low-income children with non-urgent encounters in acute settings (emergency, urgent care centers).
METHODS: We analyzed data from 1,743 publicly insured children within non-urgent encounters. Parents completed surveys assessing medical home access and attitudes regarding health care-seeking behavior. Multivariate logistic regression analyses were conducted to investigate relationships between medical home access and attitudes.
RESULTS: Forty percent of children with non-urgent acute care encounters had medical homes. Having a medical home was positively associated with always calling the doctor before going to acute care settings and preference to take a child to their doctor if the doctor's office was open evenings and weekends.
CONCLUSIONS: Although having a medical home is associated with positive attitudes regarding health care-seeking behavior, it may not suffice to overcome other barriers that precipitate non-urgentencounters.

Entities:  

Mesh:

Year:  2016        PMID: 27818445     DOI: 10.1353/hpu.2016.0169

Source DB:  PubMed          Journal:  J Health Care Poor Underserved        ISSN: 1049-2089


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