Article ; Online: Adolescents' Receipt of Care in a Medical Home: Results From a National Survey.
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
2023 Volume 73, Issue 4, Page(s) 790–794
Abstract: Purpose: Despite long-term emphasis on the medical home for children, little research focuses on adolescents. This study examines adolescent past-year attainment of medical home, its components, and subgroup differences among demographic and mental/ ... ...
Abstract | Purpose: Despite long-term emphasis on the medical home for children, little research focuses on adolescents. This study examines adolescent past-year attainment of medical home, its components, and subgroup differences among demographic and mental/physical health condition categories. Methods: Utilizing the 2020-21 National Survey of Children's Health (NSCH), ages 10-17 (N = 42,930), we determined medical home attainment and its 5 components and subgroup differences utilizing multivariable logistic regression: sex; race/ethnicity; income; caregiver education; insurance; language spoken at home; region; and health conditions: physical, mental, both, or none. Results: Forty-five percent had a medical home with lower rates among those who were as follows: not White non-Hispanic; lower income; uninsured; in non-English-speaking households; adolescents whose caregivers lacked a college degree; and adolescents with mental health conditions (p range = .01-<.0001). Differences for medical home components were similar. Discussion: Given low medical home rates, ongoing differences and high mental illness rates, efforts are needed to improve adolescent medical home access. |
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MeSH term(s) | Adolescent ; Child ; Humans ; Child Health Services/statistics & numerical data ; Ethnicity ; Health Services Accessibility/statistics & numerical data ; Hispanic or Latino ; Income ; Patient-Centered Care/statistics & numerical data ; United States/epidemiology ; Primary Health Care/statistics & numerical data ; Pediatrics/statistics & numerical data ; Adolescent Medicine/standards ; Adolescent Medicine/statistics & numerical data |
Language | English |
Publishing date | 2023-06-27 |
Publishing country | United States |
Document type | Journal Article ; Research Support, U.S. Gov't, P.H.S. |
ZDB-ID | 1063374-1 |
ISSN | 1879-1972 ; 1054-139X |
ISSN (online) | 1879-1972 |
ISSN | 1054-139X |
DOI | 10.1016/j.jadohealth.2023.05.019 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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