Outcomes for Children with Chronic Conditions Associated with Parent- and Provider-reported Measures of the Medical Home
| Autor: | Marc A. Kowalkowski, Amanda Vega, Xuan Tran, Thomas P. Giordano, Angelo P. Giardino, W. Carl Cooley, Janet Treadwell, Jean L. Raphael |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Parents Medical home medicine.medical_specialty Cross-sectional study Service use Primary care Staff education Article Patient-Centered Care Health care Humans Medicine Child Poverty Retrospective Studies Primary Health Care business.industry Public Health Environmental and Occupational Health Retrospective cohort study Texas Hospitalization Cross-Sectional Studies Health Care Surveys Family medicine Chronic Disease Female Emergency Service Hospital business Delivery of Health Care |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 26:358-376 |
| ISSN: | 1548-6869 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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