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Does access to a medical home differ according to child and family characteristics, including special-health-care-needs status, among children in Alabama?
Pediatrics. 2007 Feb; 119 Suppl 1:S107-13.Ped

Abstract

OBJECTIVE

Our goal was to examine relationships among access to a medical home, special-health-care-needs status, and child and family characteristics in one Southern state. We hypothesized that access to a medical home is influenced by several family and child sociodemographic characteristics, including special-health-care status.

METHODS

We used data from the 2003 National Survey of Children's Health. The study sample comprised all Alabama resident children. The main dependent variable was a medical home; the primary independent variable classified children according to children-with-special-health-care-needs status. We controlled for child age, gender, race, family structure, health status, insurance coverage, household education, and poverty. We first explored means or proportions for the study variables and then estimated multivariate logistic regression models.

RESULTS

Children with special health care needs were significantly more likely than children without special health care needs to have a personal doctor or nurse, to have a preventive health care visit in the previous 12 months, and to have good communication with their provider. Children with special health care needs were also more likely to experience problems accessing specialty care, equipment, or services. Being uninsured, living at or near the federal poverty level, in a household where no one completed high school, being black, having less than excellent or good health, and living in a nontraditional family structure were characteristics associated with being less likely to have a medical home. In general, children-with-special-health-care-needs status was not related to having a medical home, but dependency on prescription medicine was.

CONCLUSIONS

Assuring that all children, irrespective of family income, have access to and are enrolled in health insurance plans will move us closer to the national goal of having a medical home for all children, especially those with a special health care need, by 2010.

Authors+Show Affiliations

Department of Maternal and Child Health, School of Public Health, University of Alabama, Birmingham, Alabama 35294-0022, USA. bmulvihi@uab.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17272577

Citation

Mulvihill, Beverly A., et al. "Does Access to a Medical Home Differ According to Child and Family Characteristics, Including Special-health-care-needs Status, Among Children in Alabama?" Pediatrics, vol. 119 Suppl 1, 2007, pp. S107-13.
Mulvihill BA, Altarac M, Swaminathan S, et al. Does access to a medical home differ according to child and family characteristics, including special-health-care-needs status, among children in Alabama? Pediatrics. 2007;119 Suppl 1:S107-13.
Mulvihill, B. A., Altarac, M., Swaminathan, S., Kirby, R. S., Kulczycki, A., & Ellis, D. E. (2007). Does access to a medical home differ according to child and family characteristics, including special-health-care-needs status, among children in Alabama? Pediatrics, 119 Suppl 1, S107-13.
Mulvihill BA, et al. Does Access to a Medical Home Differ According to Child and Family Characteristics, Including Special-health-care-needs Status, Among Children in Alabama. Pediatrics. 2007;119 Suppl 1:S107-13. PubMed PMID: 17272577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does access to a medical home differ according to child and family characteristics, including special-health-care-needs status, among children in Alabama? AU - Mulvihill,Beverly A, AU - Altarac,Maja, AU - Swaminathan,Shailender, AU - Kirby,Russell S, AU - Kulczycki,Andrzej, AU - Ellis,Dawn E, PY - 2007/2/3/pubmed PY - 2007/4/6/medline PY - 2007/2/3/entrez SP - S107 EP - 13 JF - Pediatrics JO - Pediatrics VL - 119 Suppl 1 N2 - OBJECTIVE: Our goal was to examine relationships among access to a medical home, special-health-care-needs status, and child and family characteristics in one Southern state. We hypothesized that access to a medical home is influenced by several family and child sociodemographic characteristics, including special-health-care status. METHODS: We used data from the 2003 National Survey of Children's Health. The study sample comprised all Alabama resident children. The main dependent variable was a medical home; the primary independent variable classified children according to children-with-special-health-care-needs status. We controlled for child age, gender, race, family structure, health status, insurance coverage, household education, and poverty. We first explored means or proportions for the study variables and then estimated multivariate logistic regression models. RESULTS: Children with special health care needs were significantly more likely than children without special health care needs to have a personal doctor or nurse, to have a preventive health care visit in the previous 12 months, and to have good communication with their provider. Children with special health care needs were also more likely to experience problems accessing specialty care, equipment, or services. Being uninsured, living at or near the federal poverty level, in a household where no one completed high school, being black, having less than excellent or good health, and living in a nontraditional family structure were characteristics associated with being less likely to have a medical home. In general, children-with-special-health-care-needs status was not related to having a medical home, but dependency on prescription medicine was. CONCLUSIONS: Assuring that all children, irrespective of family income, have access to and are enrolled in health insurance plans will move us closer to the national goal of having a medical home for all children, especially those with a special health care need, by 2010. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/17272577/Does_access_to_a_medical_home_differ_according_to_child_and_family_characteristics_including_special_health_care_needs_status_among_children_in_Alabama L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=17272577 DB - PRIME DP - Unbound Medicine ER -