Journal article
Health Service and Functional Measures of Benefit of a Medical Home in Children with Autism
Maternal and child health journal, v 25(7), pp 1156-1163
01 Jul 2021
PMID: 33914226
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives
A medical home is a model of patient-centered, comprehensive care recommended by the American Academy of Pediatrics for all children. The aims of this study were (1) to determine if the presence of a medical home is associated with improved health service outcomes of children with autism, and (2) to determine if the presence of a medical home is associated with improved key functional outcomes in children with autism.
Methods
This study used data from the 2016-2017 National Survey of Children's Health. We used a medical home construct of 14 survey questions as the main independent variable in logistic regression models estimating cross-sectional association, and also evaluated the interaction between medical home and demographic and household characteristics, including race, income, household composition, and autism severity in regression for outcomes.
Results
Overall, the presence of a medical home was associated with increased parent reporting of shared health care decision-making, receipt of preventive pediatric care, and reduced frustration in accessing services. Some functional outcomes were also positively associated with the presences of a medical home in children with parent-reported mild autism symptoms; children who had a medical home visited the ED less often than children without a medical home. This did not persist for children with moderate or severe parent-rated autism.
Conclusions for practice
Based on parent-reported, cross-sectional data from a large, nationally representative sample of families with a child with autism, the presence of a medical home was positively associated with some improved health services and functional outcomes.
Metrics
Details
- Title
- Health Service and Functional Measures of Benefit of a Medical Home in Children with Autism
- Creators
- Jessica Rast - Drexel UniversityCraig Newschaffer - Pennsylvania State UniversityRenee Turchi - St. Christopher's Hospital for ChildrenJennifer Plumb - Drexel University
- Publication Details
- Maternal and child health journal, v 25(7), pp 1156-1163
- Publisher
- Springer Nature
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute; Community Health and Prevention
- Web of Science ID
- WOS:000645473300003
- Scopus ID
- 2-s2.0-85105428770
- Other Identifier
- 991019168742804721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health