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
; 161(4): 399-405, 2007 Apr.
Article
en En
| MEDLINE
| ID: mdl-17404138
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 OUTCOMEMEASURES:
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.
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Banco de datos:
MEDLINE
Asunto principal:
Padres
/
Trastorno Autístico
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País/Región como asunto:
America do norte
Idioma:
En
Año:
2007
Tipo del documento:
Article