Medical home and pediatric primary care utilization among children with special health care needs

  • Willits K
  • Platonova E
  • Nies M
 et al. 
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Introduction: The medical home model seeks to improve health care delivery by enhancing primary care. This study examined the relationship between the presence of a medical home and pediatric primary care office visits by children with special health care needs (CSHCN) using the data from 2005-2006 National Survey of Children with Special Healthcare Needs. Method: Survey logistic regression was used to analyze the relationship. Results: When CSHCN age, gender, ethnicity/race, functional status, insurance status, household education, residence, and income were included in the model, CSHCN with a medical home were 1.6 times more likely to have six or more annual pediatric primary care office visits than were children without a medical home [odds ratio = 1.60, 95% confidence interval = (1.47, 1.75)]. Female CSHCN, younger CSHCN, children with public health insurance, children with severe functional limitations, and CSHCN living in rural areas also were more likely to have a larger number of visits. Discussion: By controlling for child sociodemographic characteristics, this study provides empirical evidence about how medical home availability affects primary care utilization by CSHCN. © 2013 National Association of Pediatric Nurse Practitioners.

Author-supplied keywords

  • Adolescent; Child; Child
  • Newborn; Multivariate Analysis; Pediatrics; Prima
  • Preschool; Health Services Needs and Demand; Huma
  • adolescent; article; child; health service; human;

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  • K A Willits

  • E A Platonova

  • M A Nies

  • E F Racine

  • M L Troutman

  • H L Harris

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