Publication:
Presence and characteristics of medical home and health services utilization among children with asthma

dc.contributor.coauthorKieckhefer, G.M.
dc.contributor.coauthorGreek, A.A.
dc.contributor.coauthorJoesch, J.M.
dc.contributor.coauthorKim, H.
dc.contributor.departmentDepartment of Psychology
dc.contributor.kuauthorBaydar, Nazlı
dc.contributor.schoolcollegeinstituteCollege of Social Sciences and Humanities
dc.date.accessioned2024-11-09T23:09:59Z
dc.date.issued2005
dc.description.abstractIntroduction: Having a medical home is advocated by the National Association of Pediatric Nurse Practitioners and others, yet there is limited research that documents desired health benefits. We examine the presence of medical home characteristics and describe relationships between medical home and health services utilization in a national sample that includes children with asthma. Method: Medical home is represented by: (a) the presence of a usual source of care (USC), (b) identification of a named person as USC, and (c) a 10-item index of other medical home characteristics. Health services utilization over a calendar year is measured by (a) emergency department visits for asthma, (b) wellness examination, and (c) rescue bronchodilator fill/refill. Analyses include chi-square and logistic regression. Results: A USC was reported for 95% of participants. Children with a USC were more likely to have a wellness examination (odds ratio, 2.10; 95% confidence interval, 1.15-3.81). Overall, 51% reported the USC to be a facility versus a named person. Identifying a person as the USC was related to higher scores on the 10-item medical home index but not to other outcomes. Discussion: Most parents were satisfied with the USC. Benefits of having a USC, but not necessarily a named person, appear in preventive actions.
dc.description.indexedbyScopus
dc.description.issue5
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume19
dc.identifier.doi10.1016/j.pedhc.2005.05.009
dc.identifier.issn0891-5245
dc.identifier.quartileQ2
dc.identifier.scopus2-s2.0-26244440244
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-26244440244&doi=10.1016%2fj.pedhc.2005.05.009&partnerID=40&md5=17c920dbc9a5b537b76211eeba1c65e2
dc.identifier.urihttps://hdl.handle.net/20.500.14288/9383
dc.keywordsAsthma
dc.keywordsChi square distribution
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofJournal of Pediatric Health Care
dc.subjectPsychology
dc.titlePresence and characteristics of medical home and health services utilization among children with asthma
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorBaydar, Nazlı
local.publication.orgunit1College of Social Sciences and Humanities
local.publication.orgunit2Department of Psychology
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