Abstract
Introduction/Objectives: A medical home–characterized as accessible, family-centered, continuous, coordinated, compassionate, and culturally effective–is the American Academy of Pediatrics recognized model for delivering comprehensive pediatric primary care. Despite efforts to expand the availability of medical homes, many children–especially those from minority racial/ethnic groups–lack access. Given the potential adverse outcomes of racial health disparities, eliminating barriers to medical homes may improve health equity. Our study aims to identify associations between medical home access among ethno-racial groups using data from the National Survey of Children's Health (NSCH).
Methods: Utilizing NSCH 2019-2021 data, we determined rates of children with access to medical homes and access to each medical home component by racial/ethnic groups. To assess racial disparities in medical home access, we constructed a logistic regression model to measure associations, via odds ratio, between medical home access and race, controlling for child sex, age, federal poverty level, caregiver education level, and urbanicity.
Results: Among the sample of 122,979 children, 57,904 lacked access to medical homes, representing 38.7 million children or 53.12% of US children annually, with NSCH sample weights applied. Compared to White children, all racial minority children were statistically significantly more likely to lack medical home access except for Multiracial children.
Conclusions: Our study shows that children of minority groups have disproportionately less receipt of care in medical homes. This study emphasizes the need to recognize and address barriers to high-quality, comprehensive care within a pediatric medical home to improve health equity and overall health outcomes.
Methods: Utilizing NSCH 2019-2021 data, we determined rates of children with access to medical homes and access to each medical home component by racial/ethnic groups. To assess racial disparities in medical home access, we constructed a logistic regression model to measure associations, via odds ratio, between medical home access and race, controlling for child sex, age, federal poverty level, caregiver education level, and urbanicity.
Results: Among the sample of 122,979 children, 57,904 lacked access to medical homes, representing 38.7 million children or 53.12% of US children annually, with NSCH sample weights applied. Compared to White children, all racial minority children were statistically significantly more likely to lack medical home access except for Multiracial children.
Conclusions: Our study shows that children of minority groups have disproportionately less receipt of care in medical homes. This study emphasizes the need to recognize and address barriers to high-quality, comprehensive care within a pediatric medical home to improve health equity and overall health outcomes.
Original language | American English |
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Pages | 61 |
State | Published - 16 Feb 2024 |
Event | Oklahoma State University Center for Health Sciences Research Week 2024 - Oklahoma State University Center for Health Sciences, Tulsa, United States Duration: 13 Feb 2024 → 17 Feb 2024 https://medicine.okstate.edu/research/research_days.html |
Conference
Conference | Oklahoma State University Center for Health Sciences Research Week 2024 |
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Country/Territory | United States |
City | Tulsa |
Period | 13/02/24 → 17/02/24 |
Internet address |
Keywords
- pediatric medical homes
- racial disparities
- health equity in pediatrics