Perceived access to pediatric primary care by insurance status and race

Autor:	A N, Ortega, D C, Stewart, S A, Dowshen, S H, Katz
Rok vydání:	2000
Předmět:	Primary Health Care Child Health Services Community Health Centers Delaware Pediatrics Health Services Accessibility Insurance Coverage White People Black or African American Cross-Sectional Studies Caregivers Surveys and Questionnaires Humans Child Attitude to Health Demography
Zdroj:	Journal of community health. 25(6)
ISSN:	0094-5145
Popis:	The Nemours system of children's clinics in Delaware was designed to offer comprehensive primary care (medical homes), to children regardless of families' abilities to pay for services. Racial and insurance status differences in perceptions of access to the provisions of medical home and differences by the Short Medical Home Index are assessed. A probabilities proportionate to size sampling method was used to randomly select families in nine clinics. A total of 323 caregivers of children ages 6 to 48 months were surveyed. Results suggest that there are minimal differences in perceptions of access to provisions of the medical home concept by insurance status and race in the clinics studied. However, when using a composite measure of medical home, differences in perceptions were found. The results suggest that insurance status and racial differences in perceptions of access remain even when the system is specifically designed to provide medical homes without regard to demographic factors. Future studies should focus on improving patient interactions with clinic personnel to ensure that access to provisions of care are understood by all consumers.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::fe04b06f69210c7a11eb02bcb1b4f598 https://pubmed.ncbi.nlm.nih.gov/11071229 Zobrazit plný text záznamu Full text from SpringerLink