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Comparison of indicators for a primary care medical home between children with autism or asthma and other special health care needs: National Survey of Children's Health.
Arch Pediatr Adolesc Med. 2007 Apr; 161(4):399-405.AP

Abstract

OBJECTIVE

To assess the extent to which parents of children with autism compared with parents of children with asthma or other special health care needs report receiving primary care for their child consistent with the American Academy of Pediatrics medical home model.

DESIGN

Population-based cross-sectional study.

SETTING

National Survey for Children's Health 2003-2004 telephone interview.

PARTICIPANTS

Parents of 495 children with autism, parents of 6716 children with asthma, and parents of 11,403 children with other special health care needs without asthma. Main Exposures Autism and other special health care needs including asthma.

MAIN OUTCOME MEASURES

Medical home score and components of care, as follows: personal provider and preventive; family-centered, compassionate, and culturally appropriate; accessible; comprehensive; and coordinated.

RESULTS

The odds of parents reporting care consistent with that in a medical home were less likely for children with autism (odds ratio, 0.45; 95% confidence interval, 0.30-0.66) and more likely for children with asthma (odds ratio, 1.17; 95% confidence interval, 1.06-1.30) compared with children with other special health care needs (1 [reference]). These differences persisted even after controlling for condition severity, personal characteristics, and insurance status. Specific components of a medical home less prevalent among children with autism than among children with other special health care needs included family-centered, comprehensive, and coordinated care.

CONCLUSION

Although we could not evaluate the reasons why, a large percentage of children with autism do not receive primary care consistent with that in a medical home.

Authors+Show Affiliations

Department of Pediatrics, University of Minnesota, Minneapolis 55455, USA. abrachlow@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

17404138

Citation

Brachlow, Allison E., et al. "Comparison of Indicators for a Primary Care Medical Home Between Children With Autism or Asthma and Other Special Health Care Needs: National Survey of Children's Health." Archives of Pediatrics & Adolescent Medicine, vol. 161, no. 4, 2007, pp. 399-405.
Brachlow AE, Ness KK, McPheeters ML, et al. Comparison of indicators for a primary care medical home between children with autism or asthma and other special health care needs: National Survey of Children's Health. Arch Pediatr Adolesc Med. 2007;161(4):399-405.
Brachlow, A. E., Ness, K. K., McPheeters, M. L., & Gurney, J. G. (2007). Comparison of indicators for a primary care medical home between children with autism or asthma and other special health care needs: National Survey of Children's Health. Archives of Pediatrics & Adolescent Medicine, 161(4), 399-405.
Brachlow AE, et al. Comparison of Indicators for a Primary Care Medical Home Between Children With Autism or Asthma and Other Special Health Care Needs: National Survey of Children's Health. Arch Pediatr Adolesc Med. 2007;161(4):399-405. PubMed PMID: 17404138.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of indicators for a primary care medical home between children with autism or asthma and other special health care needs: National Survey of Children's Health. AU - Brachlow,Allison E, AU - Ness,Kirsten K, AU - McPheeters,Melissa L, AU - Gurney,James G, PY - 2007/4/4/pubmed PY - 2007/5/5/medline PY - 2007/4/4/entrez SP - 399 EP - 405 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 161 IS - 4 N2 - OBJECTIVE: To assess the extent to which parents of children with autism compared with parents of children with asthma or other special health care needs report receiving primary care for their child consistent with the American Academy of Pediatrics medical home model. DESIGN: Population-based cross-sectional study. SETTING: National Survey for Children's Health 2003-2004 telephone interview. PARTICIPANTS: Parents of 495 children with autism, parents of 6716 children with asthma, and parents of 11,403 children with other special health care needs without asthma. Main Exposures Autism and other special health care needs including asthma. MAIN OUTCOME MEASURES: Medical home score and components of care, as follows: personal provider and preventive; family-centered, compassionate, and culturally appropriate; accessible; comprehensive; and coordinated. RESULTS: The odds of parents reporting care consistent with that in a medical home were less likely for children with autism (odds ratio, 0.45; 95% confidence interval, 0.30-0.66) and more likely for children with asthma (odds ratio, 1.17; 95% confidence interval, 1.06-1.30) compared with children with other special health care needs (1 [reference]). These differences persisted even after controlling for condition severity, personal characteristics, and insurance status. Specific components of a medical home less prevalent among children with autism than among children with other special health care needs included family-centered, comprehensive, and coordinated care. CONCLUSION: Although we could not evaluate the reasons why, a large percentage of children with autism do not receive primary care consistent with that in a medical home. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/17404138/Comparison_of_indicators_for_a_primary_care_medical_home_between_children_with_autism_or_asthma_and_other_special_health_care_needs:_National_Survey_of_Children's_Health_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.161.4.399 DB - PRIME DP - Unbound Medicine ER -