Geographic disparities in access to the medical home among US CSHCN

Pediatrics
Gopal K SinghPeter C van Dyck

Abstract

In this study we examined geographic disparities in medical home access among US children with special health care needs (CSHCN) aged 0 to 17 years. The 2005-2006 National Survey of Children With Special Health Care Needs was used to estimate prevalence and odds of not having a medical home and 5 component outcomes according to state. Logistic regression was used to examine individual-level and state-level determinants of access. Medical home access varied substantially across geographic areas. CSHCN in Alaska, Arizona, Washington, DC, Florida, Illinois, Massachusetts, New Jersey, Nevada, and Virginia had at least 50% higher adjusted odds of not having a medical home than CSHCN in Iowa. The adjusted prevalence of CSHCN lacking a medical home varied from a low of 46% in Iowa and Ohio to a high of 59% in Alaska and 61% in New Jersey. CSHCN in several western and southwestern states experienced greater problems with access to a personal doctor/nurse, a usual source of care, specialty care referrals, care coordination, and family-centered care. Adjustment for age, gender, race/ethnicity, household socioeconomic status, language use, insurance coverage, and functional limitation reduced state disparities in access. CSHCN in states w...Continue Reading

References

Nov 9, 2000·Addiction·D M Fergusson, L J Horwood
Jul 16, 2002·Journal of Epidemiology and Community Health·A V Diez Roux
Jul 2, 2003·American Journal of Public Health·Gopal K Singh
Aug 30, 2005·Accident; Analysis and Prevention·E LenguerrandB Laumon
Mar 2, 2006·American Journal of Public Health·Zhihuan Jennifer HuangRebecca Ledsky
May 11, 2006·International Journal of Epidemiology·Gopal K Singh, Mohammad Siahpush
Aug 2, 2007·American Journal of Public Health·Gopal K Singh, Michael D Kogan
Mar 1, 2008·American Journal of Public Health·Susan I Stone, Sunyoung Jung

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Citations

Mar 29, 2012·Maternal and Child Health Journal·Joseph S ZickafooseMatthew M Davis
Feb 5, 2016·Preventive Medicine Reports·Angelia M PaschalSuzanne R Hawley
Jan 17, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Kathryn Ann WillitsHenry L Harris
Aug 23, 2011·Pediatric Clinics of North America·Harsh K TrivediLourival Baptista Neto
Jun 7, 2011·Academic Pediatrics·Joseph S ZickafooseMatthew M Davis
May 19, 2010·Child and Adolescent Psychiatric Clinics of North America·Harsh K TrivediLourival Baptista Neto
Jan 23, 2016·International Journal of Family Medicine·Romuladus E AzuineMichael D Kogan
Sep 17, 2013·Birth Defects Research. Part A, Clinical and Molecular Teratology·Cynthia H CassellRobert E Meyer
Apr 5, 2013·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Rose HardySandford Melzer
Oct 12, 2015·The Journal of Pediatrics·Alan E SimonLynn M Olson
Nov 28, 2012·American Journal of Preventive Medicine·Anne M RouxPaul T Shattuck
Dec 18, 2012·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Elizabeth J ConreyDj Sam Chapman
Jun 8, 2012·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Jeffrey A Alexander, Daniel Bae
Oct 21, 2015·Maternal and Child Health Journal·Elizabeth RadcliffCynthia H Cassell
Nov 1, 2015·Maternal and Child Health Journal·Ellen A LipsteinKatharine E Zuckerman
May 14, 2016·PloS One·Nicolle A ModeAlan B Zonderman
Jul 4, 2020·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Victoria L Phillips, Xin Hu
Mar 1, 2015·Maternal and Child Health Journal·Michaela L Zajicek-FarberJon Matthew Farber
Jan 9, 2020·Maternal and Child Health Journal·Kristin KanCraig Garfield
Apr 27, 2012·Maternal and Child Health Journal·Kimberly G FuldaKristine Lykens
Jan 7, 2014·Maternal and Child Health Journal·Robert I LiemAlexis A Thompson
Nov 10, 2020·Cardiology in the Young·Amber BroughtonSherry L Farr
Feb 24, 2021·Clinical Colorectal Cancer·Kevin BijuAshwani Rajput
Dec 13, 2016·Pediatrics·Dennis Z KuoUNKNOWN COUNCIL ON CHILDREN WITH DISABILITIES
Sep 29, 2011·Pediatrics·Nancy A MurphyUNKNOWN American Academy of Pediatrics
Nov 4, 2015·Pediatrics·Ryan J CollerPaul J Chung
Mar 16, 2011·Pediatrics·Bonnie B StricklandPaul W Newacheck

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