کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4140185 | 1272239 | 2009 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Association of Medical Home Care and Disparities in Emergency Care Utilization Among Children With Special Health Care Needs Association of Medical Home Care and Disparities in Emergency Care Utilization Among Children With Special Health Care Needs](/preview/png/4140185.png)
ObjectiveThe aim of this study was to determine whether having a medical home is associated with a reduction of racial/ethnic disparities in emergency care utilization by children with special health care needs (CSHCN).MethodsWe conducted a secondary analysis of 35 301 children, aged 0 to 17, from the 2005–2006 National Survey of Children with Special Health Care Needs. The primary dependent variable was emergency care utilization, defined as 1 or more emergency care encounters in the last 12 months. The primary independent variables were race/ethnicity and type of care (medical home, usual source of care, no medical home/no usual source of care). Multiple logistic regression was conducted to investigate associations between race/ethnicity, type of care, and emergency care utilization.ResultsAnalysis of type of care and its interactions with race/ethnicity showed that non-Hispanic black children with a medical home had higher odds (odds ratio [OR] 1.26, 95% confidence interval [CI] 1.03–1.54) of emergency care utilization compared with non-Hispanic white children with a medical home. The odds of having 1 or more emergency care visits were higher for non-Hispanic black children (OR 1.38, 95% CI 1.22–1.56) compared with non-Hispanic white children after controlling for sociodemographic variables. Having a medical home was associated with lower odds of emergency care utilization (OR 0.81, 95% CI 0.72–0.90) compared with having neither a medical home nor a usual source of care.ConclusionsEmergency care utilization for CSHCN differed significantly according to race/ethnicity. Having a medical home may be associated with a reduction in disparities in this fragile population.
Journal: Academic Pediatrics - Volume 9, Issue 4, July–August 2009, Pages 242–248