Effects of a medical home program for children with special health care needs on parental perceptions of care in an ethnically diverse patient population.

Maternal and Child Health Journal
Leslie J HamiltonThomas S Klitzner

Abstract

The Pediatric Medical Home Program at UCLA enrolled 41 patients in a primary care model focused on providing intensive care coordination for medically complex, ethnically diverse children with special health care needs (CSHCN) in our Pediatric Resident Continuity clinic. We sought to determine the effect of our program on parental satisfaction, and to compare differences in parental satisfaction between English and Spanish speaking patients. The Medical Home Family Index, developed by the Center for Medical Home Improvement, was administered to a total of 22 participating parents, in the family's primary language by a native speaker, at various times after enrollment in the program. Survey data and language effects were analyzed. The 36 standardized mean scores for the 15 Spanish speaking families were significantly higher (8.5 points higher) than the mean scores from the seven English speaking families (p = 0.003). Although no statistically significant differences were noted in individual questions between Spanish and English speakers, a trend towards more positive responses by Spanish speakers was noted in questions regarding physician-patient communication (p = 0.054) and family-centeredness (p = 0.053). Our results suggest ...Continue Reading

References

Jul 4, 1998·Pediatrics·P W NewacheckP Arango
Jul 29, 2003·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·W Carl CooleyRobin E Clark
Nov 3, 2005·Pediatrics·UNKNOWN American Academy of Pediatrics Council on Children with Disabilities
Jul 13, 2006·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Gregory S LiptakJeannette R Flynn
Jan 11, 2007·Pediatrics·Donald P OswaldMelinda B Moore
Apr 4, 2007·Pediatrics·Amy J HoutrowPaul W Newacheck
Sep 4, 2007·Pediatrics·Jeanne W McAllisterW Carl Cooley
Jun 23, 2009·The Journal of Ambulatory Care Management·Jeanne W McAllisterW Carl Cooley
Jan 9, 2010·Pediatrics·Lindsay A ThompsonJohn Nackashi

❮ Previous
Next ❯

Citations

Nov 30, 2019·Child: Care, Health and Development·Wendy S LoomanElizabeth V Weinfurter
Dec 13, 2019·Maternal and Child Health Journal·Bridget E WellerAnna K Ault
Jul 17, 2020·Clinical Pediatrics·Katherine MaiRenee M Turchi
Sep 12, 2020·Journal of Comparative Effectiveness Research·Brittany N HandJennifer H Garvin
Mar 1, 2015·Maternal and Child Health Journal·Michaela L Zajicek-FarberJon Matthew Farber
Nov 30, 2016·Child: Care, Health and Development·H EdelsteinS Kingsnorth
Jan 15, 2014·Maternal and Child Health Journal·Hagit PeresIlana Shoham-Vardi
Feb 6, 2018·Social Work in Health Care·Michael Campbell, Jessica Pierce
Dec 15, 2017·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Abbey GreggMelissa Tibbits
Jun 29, 2018·Children·Kendra D Koch, Barbara L Jones
Oct 8, 2020·International Journal for Equity in Health·Mélanie Ann SmithmanUNKNOWN IMPACT research team
May 29, 2017·Journal of Child & Adolescent Trauma·Ryan J Coller, Kelly Komatz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.