ABSTRACT

Using the 2009/2010 National Survey of Children with Special Health Care Needs (CSHCN), we investigated the impact of medical home-consistent care and child condition on five outcomes for CSHCN (n = 32,299). Models suggested that medical home-consistent care predicted increased odds of preventive services receipt, no unmet health or family support needs, ease of use of community-based services, and shared decision-making. Despite these positive effects, disparities persisted based on insurance, condition complexity, and household income. These findings illustrate the positive impacts of medical home-consistent care on children yet remind health professionals of the unique family circumstances that ultimately impact health and wellbeing.

摘要

我们使用2009/2010年全国有特殊保健需要儿童调查（CSHCN），调查了家庭居家护理和儿童状况对CSHCN五个结局的影响（n = 32,299）。模型表明，家庭居家医疗护理可以预测预防性服务获得的可能性增加，没有未满足的健康或家庭支持需求，易于使用基于社区的服务以及共同的决策。尽管有这些积极影响，但基于保险，条件复杂性和家庭收入的差异仍然存在。这些发现说明了家庭连贯医疗护理对儿童的积极影响，但提醒卫生保健专业人员独特的家庭情况最终会影响健康和福祉。