Medical homes for children with special healthcare needs in North Carolina.
N C Med J
; 67(2): 103-9, 2006.
Article
en En
| MEDLINE
| ID: mdl-16752712
ABSTRACT
BACKGROUND:
The American Academy of Pediatrics defines a medical home as medical care for children that is accessible, continuous, comprehensive, family-centered, coordinated, and compassionate. North Carolina uses the medical home concept as a model for providing high quality care to children with special healthcare needs (CSHCN). However, until recently, information on medical homes for CSHCN in North Carolina has not been available.METHODS:
Using North Carolina data from the National Survey of Children with Special Health Care Needs (2000-2002), we describe the characteristics of children having a special healthcare need. We conducted bivariate analysis of socio-demographic factors with medical home and its five components (family-centered care, effective care coordination, personal doctor or nurse, usual source of care, and referrals for specialty care) and multivariate analysis to identify the predictors of having a medical home.RESULTS:
Fifty-six percent of CSHCN in North Carolina have a medical home. White CSHCN are 1.7 times more likely to have a medical home compared to non-white CSHCN. CSHCN with no functional limitations are 1.6 times more likely to have a medical home compared to children with some or severe limitations of their functional status.CONCLUSIONS:
Current, population-based information about CSHCN and their families is essential for assessing needs and evaluating pediatric initiatives at the state level. Disparities among CSHCN due to race and functional status should be considered in organizing services for CSHCN in North Carolina.
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Bases de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Servicios de Salud del Niño
/
Atención Integral de Salud
/
Niños con Discapacidad
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
Límite:
Child
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
N C Med J
Año:
2006
Tipo del documento:
Article
País de afiliación:
Estados Unidos