Relationship Between Presence of a Reported Medical Home and Emergency Department Use Among Children With Asthma

被引：38

作者：

Diedhiou, Abdoulaye ^{[1
]}

Probst, Janice C. ^{[1
]}

Hardin, James W. ^{[1
]}

Martin, Amy B. ^{[1
]}

Xirasagar, Sudha ^{[1
]}

机构：

[1] Univ S Carolina, Arnold Sch Publ Hlth, S Carolina Publ Hlth Consortium, Columbia, SC 29208 USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2010年 / 67卷 / 04期

关键词：

primary care; medical home; emergency department; childhood asthma; special health care needs; QUALITY-OF-CARE; HEALTH DISPARITIES; CHILDHOOD ASTHMA; NATIONAL-SURVEY; ACCESS; ASSOCIATION; MANAGEMENT; PREVALENCE; IMPACT;

D O I：

10.1177/1077558710367735

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study examined data from the 2005-2006 National Survey of Children with Special Health Care Needs to assess the relationship among children with asthma between a reported medical home and emergency department (ED) use. The authors used 21 questions to measure 6 medical home components: personal doctor/nurse, family-centered, compassionate, culturally effective and comprehensive care, and effective care coordination. Weighted zero-inflated Poisson regression analyses assessed the independent effects of having a medical home on annual number of child ED visits while controlling for child and parental characteristics, and the differential likelihood of securing a medical home. Nearly half (49.9%) of asthmatic children had a medical home. Receiving primary care in a medical home was associated with fewer ED visits (incidence rate ratio = 0.93; 95% confidence interval = 0.89-0.97). A medical home in which physicians and parents share responsibility for ensuring that children have access to needed services may improve child and family outcomes for children with asthma.

引用

页码：450 / 475

页数：26

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