Characterizing Key Components of a Medical Home Among Rural Adolescents

Dixon, Sarah K.; Hoopes, Andrea J.; Benkeser, David; Grigg, A O; Grow, H. Mollie

doi:10.1016/j.jadohealth.2015.10.249

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…We also noted alignment with Bright Futures guidance for adolescent visits published by the American Academy of Pediatrics, specifically with guidance for providers to emphasize and assess the emotional well-being of adolescent patients (American Academy of Pediatrics, 2017) alongside physical growth, development, social determinants of health, and risk reduction and safety. The continued importance of provider continuity was underscored by parents and adolescents, aligned with other studies of adolescent-friendly care (Coker et al, 2010;Dixon, Hoopes, Benkeser, Grigg, & Grow, 2016).…”

Section: Discussionmentioning

confidence: 62%

What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights

Hoopes

Brandzel²,

Luce³

et al. 2022

Journal of Pediatric Health Care

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Section: Discussionmentioning

confidence: 62%

What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights

Hoopes

Brandzel²,

Luce³

et al. 2022

Journal of Pediatric Health Care

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“…23 Being a female living in an urban area was also associated with use. 23,24 Limitations included use of self-reported measures and a cross-sectional design. Identifying potential differences in the use of family physician services over time is needed and could inform a more comprehensive understanding of health care use by adolescents.…”

Section: Points De Repère Du Rédacteurmentioning

confidence: 99%

Primary care service use during adolescence and young adulthood

et al. 2022

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Objective To understand use of family physician services and emergency department visits by adolescents and young adults with chronic health conditions.Design Longitudinal retrospective observational cohort study using administrative health data.Setting Chronic care clinics at a tertiary care pediatric hospital in Calgary, Alta.Participants In total, 1326 adolescents who were between 12 and 15 years old in 2008, who were observed until 2016, and who received medical services for chronic conditions were enrolled in the study. Eligible participants had at least 4 visits to the same chronic disease clinic in any 2-year window before age 18.Main outcomes measures Group-based trajectory modeling was used to identify groups of adolescents with distinct patterns of health care use (for visits to emergency departments and to primary care practices), while c 2 tests explored trajectory group differences (eg, sex, location of residence). ResultsMedian age was 14 years (range 12 to 17 years) at study entry, and 22 years (range 14 to 24 years) at study exit. Half were female and most (85.4%) lived in an urban area. Median observation period was 8.7 person-years (range 1.3 to 9.1 years). Group-based trajectory modeling identified 5 distinct trajectory groups of primary care use and 4 groups of emergency services use. Groups differed by sex and location of residence in each trajectory model.

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“…For example, there are fewer pediatricians and primary care providers in rural compared to urban areas 7 . Rural children and adolescents, therefore, may receive health care services from the same staff and provider as the rest of their family 8,9 . This may make them less comfortable in reaching out with health concerns, due to perceived confidentiality issues 10 …”

Section: Introductionmentioning

confidence: 99%

“…7 Rural children and adolescents, therefore, may receive health care services from the same staff and provider as the rest of their family. 8,9 This may make them less comfortable in reaching out with health concerns, due to perceived confidentiality issues. 10 Lack of or limited access to health care services during childhood and adolescence may ensue long-term adverse health outcomes into and during young and older adulthood.…”

Section: Introductionmentioning

confidence: 99%

Rural‐urban differences in access to care among children and adolescents in the United States

Crouch

Hung

Benavidez

et al. 2023

The Journal of Rural Health

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PurposeRural children and adolescents face disproportionate challenges in access to health care services than their urban counterparts. Yet, recent evidence on disparities in access to health care between rural and urban children and adolescents has been limited. This study examines the associations of residence location with receipt of preventive care, foregone medical care, and continuity of insurance coverage among US children and adolescents.MethodsThis study used cross‐sectional data from the 2019 to 2020 National Survey of Children's Health, with a final sample size of 44,679 children. Descriptive statistics, bivariate analyses, and multivariable logistic regression models were used to examine the differences in preventive care, foregone care, and continuity of insurance coverage between rural and urban children and adolescents.FindingsRural children had lower odds of receiving preventive care (aOR 0.64; 95% CI 0.56‐0.74) and having continuous health insurance coverage (aOR 0.68; 95% CI 0.56‐0.83) compared to urban children. The odds of foregone care were similar between rural and urban children. Children at every federal poverty level (FPL) less than 400% were less likely to receive preventive care, and more likely to forego care than children residing at 400% or above FPL.ConclusionsRural disparities in child preventive care and insurance continuity warrant ongoing surveillance and local access to care initiatives, especially for children in low‐income households. Without updated public health surveillance, policymakers and program developers may not be aware of current disparities. School‐based health centers are 1 avenue for meeting the unmet health care needs of rural children.

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Characterizing Key Components of a Medical Home Among Rural Adolescents

Cited by 4 publications

References 23 publications

What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights

What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights

Primary care service use during adolescence and young adulthood

Rural‐urban differences in access to care among children and adolescents in the United States

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